Get Lifespring Counseling Client Intake Form - Lifespringllc

The LifeSpring Counseling Client Intake Form is an essential document for initiating counseling services. Completing this form accurately will help ensure that your personal information is correctly recorded, allowing you to receive the support you need.

Follow the steps to successfully complete the intake form online.

1. Press the ‘Get Form’ button to access the LifeSpring Counseling Client Intake Form, ensuring the document opens in your preferred editor.
2. Begin by filling in your client information. This includes your first name, middle initial, last name, address, city, state, zip code, home and work/cell phone numbers, and whether voicemails can be left at these numbers. Additionally, provide your birthdate, age, social security number, marital status, email address, occupation, and employer.
3. Next, indicate your student or employment status by circling either 'Full-time' or 'Part-time'. If you have a spouse, include their name.
4. If the client is a minor, ensure that the parent or guardian's information is filled out, including their name, address, phone numbers, and the relationship to the client.
5. Move on to the insurance information section. Provide details about your primary and secondary insurance, including the name of the insured, their address, relationship to you, ID and Group numbers, and other relevant information.
6. In the psychosocial and medical history section, briefly describe the presenting problems that led you to seek counseling. Complete the current symptom checklist by rating the intensity of various symptoms you may be experiencing.
7. Document any medications you are currently taking or have taken in the past, along with details about your current physical health.
8. Indicate any legal history and family dynamics, including present and past relationships, economic status, and living situation. Ensure you provide complete responses to all relevant questions.
9. Lastly, review the confidentiality, cancellation, and fees policies. Initial each topic after reviewing and sign and date the document at the required sections.
10. After you have filled out all sections accurately, save your changes and download, print, or share the form as needed.

Complete your LifeSpring Counseling Intake Form online today to start your journey towards better mental health.