Intake Form - Maria-Jose Soerens MA Seattle Counseling Spanish ... 2026

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  1. Click ‘Get Form’ to open the Intake Form in the editor.
  2. Begin by entering the date at the top of the form, followed by your last and first name. Ensure all personal information is accurate.
  3. Fill in your address, city, state, and zip code. This information helps establish your location for counseling services.
  4. Provide your email address and phone numbers. Indicate whether it’s acceptable to contact you at home.
  5. Answer questions regarding your medical care and prescribed medications. If applicable, provide details about your personal physician.
  6. Indicate any previous mental health care you have received and describe any struggles you are currently facing by circling relevant options.
  7. Complete sections regarding language preferences and confidence in therapy outcomes on a scale from 1 to 10.
  8. Review all entries for accuracy before saving or submitting the form through our platform.

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