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- Click ‘Get Form’ to open the Intake and Informed Consent Final Copy.doc in the editor.
- Begin by entering the date, ID number, and referral source at the top of the form. This information helps us track your intake process.
- Fill in your personal details including name, date of birth, age, mailing address, and contact numbers. Ensure you indicate whether we can leave messages at these numbers.
- Complete the academic information section by providing your classification, hours attempted this semester, overall GPA, expected graduation date, major, and probable occupation.
- In the counseling concerns section, describe what brings you to counseling and rate the severity of your problem. This helps us understand your needs better.
- Answer questions regarding past counseling experiences and any current suicidal thoughts. Your honesty is crucial for effective support.
- Assess your physical health and lifestyle habits such as exercise frequency and sleep patterns. This information is vital for a holistic approach to your care.
- Review all sections for completeness before saving or printing the document to bring to your first appointment.
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