Get Providence Church Counseling Intake Form Today's Date: Name: Date

Filling out the Providence Church Counseling Intake Form is an important step in seeking assistance and support. This guide will help you navigate the various sections of the form with clarity and confidence, ensuring that your information is accurately captured to facilitate the counseling process.

Follow the steps to successfully complete the intake form.

1. Click the ‘Get Form’ button to access the intake form and open it for completion.
2. In the 'Personal Information' section, fill in your name, birth date, address, phone number, and any relevant medical information including diagnoses and emergency contact details. Make sure to provide complete and accurate information.
3. Move to the 'Medical' section. Here, you will need to provide details about your family doctor, any difficulties attending medical appointments, and information regarding seizures, allergies, and other medical issues.
4. In the 'Communication' section, indicate the appropriate mode(s) of communication the individual uses, and describe expressive and receptive communication skills.
5. Proceed to the 'Behaviour' section, rating specific behaviors by frequency, and provide detailed descriptions of the individual's behavior in various situations.
6. Fill out the 'Life Skills' section. Indicate toileting needs, assistance required for dressing, hygiene practices, and eating habits.
7. Finally, review all the information you have provided for accuracy. You can save your changes, download or print the completed form, and share it as necessary.

Complete the Providence Church Counseling Intake Form online today to begin your journey toward support.