Client Intake Form Updated 2026

1. Click ‘Get Form’ to open the Client Intake Form Updated in our editor.
2. Begin by entering your Client Reference Number and the date at the top of the form. This helps us track your submission efficiently.
3. Fill in your personal details, including your name, contact numbers, and address. Ensure all information is accurate for effective communication.
4. Indicate whether you would like to receive our newsletter by checking 'Yes' or 'No'.
5. Provide details about your availability for counseling by selecting your age group, family status, and preferred days and times.
6. In the 'Types of Crisis' section, check all relevant issues you are facing. Prioritize them if possible to help us understand your needs better.
7. Complete additional sections regarding employment, church affiliation, and previous counseling experiences as applicable.
8. Finally, sign at the bottom of the form to confirm that you have read and understood our limitations regarding counseling support.

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