Follow the steps to successfully complete the family intake form.

1. Click ‘Get Form’ button to access the family intake form and open it in your preferred online document editor.
2. In the 'Family Information' section, list all individuals who will be present for counseling. Include names, phone numbers, and addresses for both parents, noting any alternate mailing addresses as necessary.
3. Fill in the contact details for both parents, including age, gender, date of birth, religious affiliation, employer, and occupation. Be sure to choose the appropriate marital status from the provided options.
4. For each child, provide their name and age. If there are stepsiblings or partial siblings, indicate this next to their names.
5. Address the mental health questions by indicating if anyone in the immediate family has been suicidal or hospitalized for mental health-related issues. Provide details as needed.
6. Describe the reasons for seeking family counseling in the designated section. Write in clear and concise language.
7. Reflect on the success of therapy by noting what would be different in the family post-therapy. List strengths and weaknesses within the family dynamic.
8. Discuss how the family deals with conflict and celebrations. Include regular family activities and how major life events are managed.
9. Answer the question regarding any history of violence in the family, providing explanations as necessary.
10. Note the referral source if applicable and complete the emergency contact details. Include name, relationship, and phone number.
11. Finally, provide client signatures and dates to complete the form. Ensure all information is accurate before submission.
12. Once all information is inputted and reviewed, save changes to the document, and download, print, or share the completed form as needed.

Take the next step by filling out the family intake form online today.