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1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This helps establish a timeline for your intake process.
3. Fill in your email address, name, and address details accurately. Ensure that all contact information is current for effective communication.
4. Provide your phone numbers and indicate if you can be contacted at work. This section is crucial for scheduling follow-ups.
5. Complete personal details such as Social Security Number, Date of Birth, Age, Sex, and Marital Status. This information is essential for your records.
6. Indicate who you live with and provide relevant details about your spouse if applicable. This context can aid in understanding your situation better.
7. In the 'Problem Areas' section, check any concerns that resonate with you. Use two checks for the most pressing issues to prioritize discussion points during therapy.
8. Finally, review all entries for accuracy before submitting the form to ensure a smooth intake process.

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