Get Sl Couples Counseling Intake Form Rev 1.16.18.docx

Completing the SL Couples Counseling Intake Form REV 1.16.18.docx online is a straightforward process that helps gather essential information for effective counseling. This guide will walk you through each section to ensure that you provide the necessary details with ease.

Follow the steps to accurately complete the counseling intake form.

1. Click the ‘Get Form’ button to access the intake form and open it in your preferred editing tool.
2. Begin by filling out the client information section. Enter your first name, middle initial, last name, date of birth, address, city, state, zip code, cell phone, home phone, email, preferred method of contact, and gender.
3. Indicate if it is acceptable to leave a voicemail, your marital status, if you have ever been divorced, your occupation, employer, and current church affiliation. If applicable, detail any leadership roles you hold.
4. Proceed to the spouse information section and fill in the same details for your partner, including their first name, middle initial, last name, and other requested information.
5. Move to the intake information section. Answer whether you have had counseling before and provide the names and dates of previous counselors, if applicable. Describe your past counseling experience and any current issues that led you to seek counseling.
6. In this section, check any symptoms you are currently experiencing, such as alcohol abuse, changes in sleeping habits, or feelings of anxiety.
7. Answer whether you or your partner has experienced thoughts of suicide and provide a brief description of what you hope to accomplish through counseling.
8. Next, complete the family information section by detailing the number of years married, previous marriages, children and their ages, and your parents' current marital status.
9. Describe your family experience growing up using the provided options and indicate the support systems you have in your life.
10. Answer questions regarding any history of mental illness or substance abuse in your family, if they apply.
11. In the medical information section, provide your primary care physician's details and describe your current physical health. List any medications you are taking along with any past serious conditions or hospitalizations.
12. Finally, if there is anything else you wish to share with your counselor, include that information in the space provided.
13. Once you have completed all sections of the form, save your changes, download a copy, print it for your records, or share it as necessary.

Complete the SL Couples Counseling Intake Form REV 1.16.18.docx online to begin your journey towards better relationships.