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Connected Marriage and Family Therapy Intake Assessment Form

Connected Marriage and Family Therapy Intake Assessment Form 2025

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The document is an Intake/Assessment Form for clients seeking counseling services from Susan Lessley, a Licensed Marriage and Family Therapist. It includes sections for client information, family background, education, military experience, personal strengths, counseling history, legal issues, and current reasons for seeking therapy. Additionally, it outlines confidentiality policies, the Mental Health Bill of Rights in Minnesota, counseling fees, and an agreement for therapy services. The form emphasizes the importance of providing complete and accurate information to facilitate effective therapy.

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