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This form is used to refer families for free, trauma-informed counseling services provided by The Family Collective through Catholic Charities. It captures essential information about the head of the household seeking counseling, including contact details, household composition, and reasons for seeking counseling. The form also includes an authorization for the release of information necessary for treatment coordination.
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How to fill out family collective counseling referral

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How to fill out family collective counseling referral

01
Gather necessary family information, including names, ages, and relationships.
02
Identify the main issues or concerns prompting the referral.
03
Choose the appropriate counseling services relevant to your family's needs.
04
Fill out the referral form accurately, ensuring all fields are completed.
05
Provide detailed information about any previous counseling or interventions.
06
Include contact information for each family member if applicable.
07
Submit the referral form to the designated counseling agency.

Who needs family collective counseling referral?

01
Families experiencing communication difficulties.
02
Families facing significant transitions or changes, such as divorce or relocation.
03
Families dealing with mental health issues affecting one or more members.
04
Families seeking to improve relationships and strengthen bonds.
05
Families who have experienced trauma or loss and want to process their experiences together.
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Family collective counseling referral is a formal request for counseling services that involve multiple family members, aimed at addressing collective issues and dynamics within the family unit.
Typically, a family member, guardian, or legal representative who recognizes the need for counseling services for the family must file the referral.
To fill out a family collective counseling referral, the filer needs to provide personal information of all participating family members, a description of the issues requiring counseling, and contact information for follow-up.
The purpose of a family collective counseling referral is to initiate access to therapeutic resources, support, and guidance aimed at improving family relationships and resolving conflicts.
The referral must include personal details of each family member, nature of the issues, any previous counseling history, and the desired outcomes from the counseling.
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