Get Premarital Intake Form - New Perspective Counseling Services

Completing the premarital intake form is the first step towards receiving guidance and support from New Perspective Counseling Services. This document is essential for understanding you and your partner's unique situations and identifying ways to assist you both effectively. The information provided will be kept confidential.

Follow the steps to accurately fill out the premarital intake form.

1. Click the 'Get Form' button to access the online form and open it in your preferred document editor.
2. Begin by filling in the personal information for partner 1. This includes the first name, last name, middle initial, street address, city/state, date of birth, zip code, Social Security Number, sex, highest level of education completed, religious affiliation, and contact preferences for home, work, and cell phone numbers. Ensure that you also provide an email address and the name of the person responsible for payment.
3. Repeat the previous step for partner 2, ensuring you complete all fields accurately.
4. Proceed to the medical and mental health history section for each partner. Indicate any current treatments, medications, and whether you have seen a psychiatrist or mental health provider in the past.
5. Next, complete the alcohol and substance use survey. Answer honestly regarding alcohol consumption and any use of marijuana or other substances.
6. Fill out the risk assessment section by identifying any relevant family history of mental illness or substance abuse. Provide details about any personal history of abuse and thoughts of self-harm, if applicable.
7. In the couple's relationship section, describe your relationship duration, engagement status, wedding date, children, pets, and any other individuals living in your home.
8. Define your pre-marital goals specifically for both partners, and rate the topics where you seek assistance.
9. By the end of the form, both partners are required to sign and date the document, confirming the accuracy of the provided information and your commitment to attending sessions.
10. Once all sections are completed, you can save your changes, download the form, print it for your records, or share it as needed.

Start filling out your premarital intake form online today to take the first step towards a healthier relationship.