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ADOLESCENT!INTAKE!FORM! - Nancy Stroud, LCSW, RRT

ADOLESCENT!INTAKE!FORM! - Nancy Stroud, LCSW, RRT 2025

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4.7 out of 5

22 votes

The document is an adolescent intake form and consent agreement for therapy services provided by Nancy Stroud, LCSW. It includes sections for personal information about the child and parents, a history of the child's problems, symptoms experienced, and details regarding family dynamics. Additionally, it outlines confidentiality limits, payment policies, risks associated with psychotherapy, and office policies regarding appointment cancellations. The form emphasizes the importance of respecting the adolescent's privacy while also detailing financial responsibilities and legal considerations.

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Versions	Form popularity	Fillable & printable
2017	4.7 Satisfied (22 Votes)
2016	4.3 Satisfied (21 Votes)

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