Get Life Works Counseling Client Intake Form

Completing the Life Works Counseling Client Intake Form online is a straightforward process that helps gather essential information for your first session. This guide will provide clear and supportive instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to successfully complete the form online:

1. Press the ‘Get Form’ button to acquire the intake form and open it for completion.
2. Begin by providing your personal details, starting with your name. Fill in your last name, first name, and middle initial. If you are a minor, include the name of your parent or guardian in the designated section.
3. Enter your birth date, age, and select your gender from the options provided. Be mindful to accurately reflect your marital status by checking the appropriate box.
4. Indicate the number of children you have, if applicable, and provide your local address, including street number, city, state, and zip code.
5. Fill in your home and cell phone numbers, and indicate whether you consent to receive messages at these numbers.
6. Provide your email address and state your preference for receiving emails. Remember that email communication may not be confidential.
7. Identify how you were referred to Life Works Counseling. This assists in understanding how people find our services.
8. Answer whether you currently receive psychiatric services or therapy elsewhere, followed by any previous therapy details if applicable.
9. If you are currently taking psychiatric medication, please list it. If not, indicate if you have previously been prescribed any.
10. For the health and social information section, assess your physical health by circling the appropriate option. List any persistent health issues, if any.
11. Discuss your sleep habits, exercise frequency, and any eating issues, marking yes or no where appropriate.
12. Indicate your alcohol usage and recreational drug habits by selecting the relevant choices.
13. Share information about your mental health, including any recent suicidal thoughts or significant life changes.
14. Provide occupational details, if employed, and mention any work-related stressors.
15. Answer questions regarding your religious or spiritual beliefs, and share any family mental health history that applies.
16. In the final sections, express your personal strengths, what you appreciate about yourself, and effective coping strategies you've learned.
17. Clearly outline your goals for therapy and once all sections are completed, save the form. You may choose to download, print, or share it as needed.

Complete your Life Works Counseling Client Intake Form online today for a smoother start to your therapeutic journey.