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CHILD INTAKE ASSESSMENT FORM Jason G. Stentoumis, Psy.D. Licensed Licensed Psychologist 2535 E. Mt. Hope Ave., Lansing, MI 48910-1913 Telephone: 517-999-3935 Fax: 517-372-2542 Email: jgs drstentoumis.com.

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Specifically, an intake assessment form for mental health will provide important details on a patient's mental state, particularly in regards to their presenting problems, whether they're at risk for self-harm, and what type of medications and treatment might be necessary.

Structuring your intake The Introduction: Establish rapport and make a connection with your client. The Opening: Ask questions and elicit information from the client. The Body: Dive deeper into the clients' needs and establish a structure for progress through intervention and goal-setting.

Some intake questions may include: Your personal and family medical history, including current medications. Personal and family substance use history, including prescription medications. The reason you are seeking counseling. Symptoms you feel, such as anxiety, panic attacks, depression or suicidal ideation.

Tips for Navigating Intake Sessions Discuss topics such as payment, ethical concerns, and the therapeutic relationship. Go over informed consent paperwork. Have them fill out intake forms or go over their information if they filled these out before the session.

11 example client intake interview questions What is your reason for coming in today? ... Can you tell me more about your case? ... Have you ever worked with an attorney before? ... Have you seen an attorney about this matter already? ... What are your goals? ... Do you have additional documents or information for me?

The counselor will ask you about your basic demographic background, interactions with the police, a brief medical and mental health history, history of abuse, symptoms of trauma that you may be experiencing, and strengths and protective factors.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232