CLIENT INTAKE FORM - Horse sense Kc 2026

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  1. Click ‘Get Form’ to open the CLIENT INTAKE FORM 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 name, address, and phone numbers (home, work, and cell) in the designated fields. Ensure accuracy for effective communication.
  4. Provide your birth date and relationship status. If applicable, include your partner's name and age.
  5. List any children along with their names and ages. This information is crucial for understanding family dynamics.
  6. In case of an emergency, provide a contact name and phone number to ensure safety protocols are followed.
  7. Indicate your place of employment and how you were referred to this service. This context can aid in tailoring your therapy experience.
  8. Articulate your expectations and goals for therapy clearly. Use specific examples of behaviors or feelings that reflect these goals.

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