Get Marriage Counseling Intake Form

Filling out the marriage counseling intake form online is an important step towards seeking support for your relationship. This guide will provide you with a clear, step-by-step approach to completing each section of the form accurately and effectively.

Follow the steps to complete your marriage counseling intake form.

1. Click ‘Get Form’ button to access the intake form and open it in your web browser.
2. Fill in the client reference number at the top of the form. This helps in identifying your case during counseling sessions.
3. Enter your mailing address in the designated space. Make sure to provide accurate information to receive any correspondence.
4. Provide the date of filling out the form in the specified field.
5. Indicate whether you would like to receive the newsletter by selecting 'Yes' or 'No.'
6. Complete your personal contact information, including your name, cell phone, home phone, work phone, email, and home contact preferences.
7. Identify the best time for contact and specify if you would prefer a message or text.
8. List an emergency contact person and their phone number for reference.
9. Provide the name of your partner and indicate whether they will participate in counseling by selecting 'Yes' or 'No.'
10. Check the appropriate boxes to describe your age and family status, providing additional details as necessary.
11. Indicate the status of your children by providing the number of children living at home and any additional details as prompted.
12. Identify critical or crisis issues in your marriage by checking all that apply from the options presented.
13. Describe your employment status and any church affiliation. Include how you found out about the ministry.
14. Answer questions about any previous counseling experiences, medications, and medical conditions relevant to the counseling.
15. Provide your signature to confirm that you have read the outlined limitations and conditions.
16. Summarize the need that brings you to counseling, using the space provided. You may continue on the back if necessary.
17. Once you've completed the form, review your responses for accuracy before submitting the online form.

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