Get Somatic Experiencing Intake

The Somatic Experiencing Intake form is a crucial document for individuals seeking support through somatic experiencing. This guide provides clear, step-by-step instructions on how to efficiently and accurately complete this form online.

Follow the steps to complete the Somatic Experiencing Intake form online.

1. Click ‘Get Form’ button to obtain the form and access it in your online editor.
2. Begin by filling in your personal information, including your name, email, and phone number. Indicate an alternate phone number if necessary.
3. Select your preferred means of contact by checking the appropriate box for email, phone, or text.
4. Input the name and phone number of your emergency contact for reference.
5. In the 'General History' section, provide details about any hospitalizations or surgeries, along with relevant dates or age when these events occurred.
6. List any diagnosed conditions you have been informed of to help the practitioner understand your health history.
7. Describe any pain you are currently experiencing, including the date of onset if possible.
8. Optionally, list any medications you are taking, including non-prescription or street drugs.
9. Detail your sleep patterns, which are essential for understanding your overall well-being.
10. Elaborate on your emotional state and general energy levels, which will assist in providing tailored support.
11. State your occupation and share your interests or activities that contribute to your health and relaxation.
12. Include any additional information that may be beneficial for the practitioner to know.
13. Clearly articulate your goals for seeking Somatic Experiencing therapy.
14. In the 'Trauma History' section, provide accurate responses regarding your past experiences, marking the appropriate boxes.
15. At the end of the form, review your responses for accuracy and completeness. After ensuring all information is correct, save the changes, and choose whether to download, print, or share the form as needed.

Complete your Somatic Experiencing Intake form online today for a more tailored therapeutic experience.