Get Please Fill Out Form Sign Below

Completing the Please Fill Out Form Sign Below is an essential step in preparing for your upcoming session. This guide offers clear and structured instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form successfully

1. Press the ‘Get Form’ button to obtain the form and open it in your online document editor.
2. Begin by entering your name in the designated fields, including your last name, first name, and middle initial. If you are under 18, include the name of your parent or guardian.
3. Fill out your birth date, age, and gender by selecting the appropriate options provided.
4. Indicate your marital status by checking the corresponding box that applies to you.
5. List any children you have along with their ages in the specified space.
6. Enter your current address, including street number, city, state, and zip code in the appropriate fields.
7. You will have the option to allow messages to be left on your cell/other phone and home phone. Indicate your preference by checking 'Yes' or 'No.'
8. Provide your email address and indicate whether you would like to receive emails. Keep in mind that email communication is not considered confidential.
9. If applicable, mention who referred you to this service.
10. Respond to questions about previous mental health services. Indicate whether you have received such services and provide the name of your previous therapist if applicable.
11. Answer questions about prescription medication, general health, sleep habits, exercise, appetite, emotional state, medication history, and family mental health history by checking the ‘Yes’ or ‘No’ boxes where required, and provide additional information as needed.
12. Provide any additional information, including your current employment status, spiritual beliefs, strengths, weaknesses, and therapy goals.
13. Once all fields are filled out, review your information for accuracy. You can then save the changes, download the completed form, print it, or share it as necessary.

Complete your document online today to prepare for your first session.