Follow the steps to successfully complete the intake form.

1. Click the ‘Get Form’ button to obtain the SWFCC Mental Health Intake Form and access it in your chosen editor.
2. Begin by entering the patient's name and age in the designated fields. Ensure the patient’s date of birth and gender are correctly reflected.
3. Indicate the date you are filling out the form.
4. Identify the person completing the form by selecting an option: Parent, Teen, or Other. If choosing 'Other', please specify.
5. Select the patient's race/ethnicity from the provided options to ensure proper demographic understanding.
6. Detail the problem(s) for which help is being sought by selecting all relevant issues from the checklist.
7. Indicate how long these problems have existed by selecting the appropriate time frame.
8. Describe what changes you would like to see regarding the patient’s mental health or behavior.
9. Complete the current symptom checklist by checking the boxes once for any symptoms present, or twice for major symptoms.
10. Conduct a suicide risk assessment by answering the questions truthfully to ensure safety and proper support.
11. Provide medical and developmental history, including the name of the pediatrician and any current medications.
12. Describe personal and family medical history, including any history of psychiatric conditions.
13. Fill in the trauma history section if applicable, providing detailed information about any past incidents.
14. Complete the education history, listing the current school and any academic concerns.
15. Conclude by reviewing all filled information, making any necessary adjustments, and saving the changes. You may then download, print, or share the completed form.

Start filling out your SWFCC Mental Health Intake Form-Child/Adolescent online today to take a step towards improved mental health support.