Get Intake Forms 7-2-12 - Riverbend-counselingcom

Filling out the Intake Forms 7-2-12 is an essential step in beginning your journey with Riverbend Counseling. This guide will provide clear and supportive instructions for completing the forms online, ensuring you provide all necessary information comfortably and confidently.

Follow the steps to complete your intake forms online.

1. Press the 'Get Form' button to access the Intake Forms 7-2-12. This will open the document for you to fill out.
2. Begin by entering your personal details in the client information section. Provide your first name, initial, last name, date of birth, and social security number. Select your sex and marital status and indicate how you heard about the counseling service.
3. Fill in your address, city, and zip code. Include details about your employer or school and specify whether you work full-time or part-time.
4. Circle your preferred phone number from home, work, or cell. Additionally, enter your email address and religion.
5. In the physician section, provide the full name and address of your physician.
6. Complete the payment information section by entering the name of the insured, their date of birth, sex, social security number, and address.
7. Specify your relationship to the insured person, circle your preferred contact phone number, and indicate if there is a second insurance policy.
8. For the emergency contact, fill in the full name, phone number, address, cell phone, and relationship to you.
9. In the confidential client information section, provide details on your family, any current or past medical conditions, treatments, and medications.
10. Discuss any legal issues and state your therapy goals clearly and comprehensively.
11. Review the consent for treatment section. Indicate which services you agree to participate in by marking the appropriate boxes.
12. Acknowledge understanding of the privacy policy by reading through the details and signing the document.
13. Lastly, save your changes, download the completed form, or print and share it as needed.

Complete your Intake Forms 7-2-12 online today to start your counseling experience with Riverbend Counseling.