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Group therapy screening form

Group therapy screening form 2025

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4.8 out of 5

77 votes

The document is a Group Intake and Screening Form for a Collaborative Counseling Center, designed for parents or guardians to provide essential information about their child prior to joining a therapy group. It collects details such as the child's personal information, educational placement, mental health diagnoses, behavioral concerns, previous therapy experiences, and specific needs related to allergies or medical conditions. The form aims to understand the child's background and current challenges to facilitate effective support and intervention.

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Click ‘Get Form’ to open the group therapy screening form in the editor.
Begin by entering the date at the top of the form, followed by your name as the parent or guardian, and your child's name.
Fill in your child's date of birth and grade, ensuring accurate information for proper assessment.
Provide your address, contact number, and email for communication purposes.
Indicate how you heard about this group to help us understand outreach effectiveness.
Answer questions regarding your child's educational placement and any mental health or learning disorders they may have.
Detail any medications your child is currently taking, including names, doses, and duration.
List any outside therapists or providers involved in your child's care.
Express your current concerns about your child’s behavior and communication abilities in the provided sections.
Complete additional questions regarding previous therapy experiences, anxiety issues, and desired outcomes from this group experience.
Finally, review all entries for accuracy before signing and dating the form at the bottom.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (77 Votes)
2016	3.7 Satisfied (29 Votes)
2013	4 Satisfied (23 Votes)

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