Get Intake Interview Form

Completing the Intake Interview Form online is an essential step in the assessment process. This guide provides clear, step-by-step instructions designed to help you navigate each section of the form effectively, ensuring all necessary information is accurately captured.

Follow the steps to complete the Intake Interview Form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling out the Family Details section. Provide the child's full name, date of birth, age, and living arrangements. Include information about the child's parents, siblings, and their respective details such as names, ages, and occupations.
3. Move to the Referral Source section. Enter the date of referral, the referral agency, and a detailed description of any comments related to the referral.
4. In the Diagnostic Information section, provide any relevant diagnoses previously assigned to the child and the sources for each diagnosis, ensuring to include specific reports and their authors.
5. Next, describe the child’s current behavioral issues in the Child Behaviour section. Mention the context in which these behaviors occur, their onset, and any changes over time. Document the frequency and duration of the behavior occurrences.
6. Discuss the parenting strategies used in the Parenting Skills section. Reflect on which strategies are effective and clarify any specific strategies that may not be working.
7. Document any previous psychological help sought in the Previous History of Psychological Help section. Provide information on the type of help, frequency, and outcomes.
8. In the Factors Influencing Child Behaviour section, cover developmental history, educational history, and any significant events or tests that may impact the child’s current functioning.
9. Fill out the Obstacles to Change section by providing information on family circumstances, support systems, childcare arrangements, and any financial problems.
10. Complete the Health Status section by noting any medical conditions for the child, mother, and father, and indicate if a medical examination is needed.
11. In the Parent/s’ Perceptions section, describe each parent's views regarding the causes and maintaining factors of the child's behavioral issues.
12. Finish by outlining each parent's expectations for the program in the Parent/s’ Expectations section.
13. Once all sections are completed, review your entries for accuracy. You can then save changes, download, print, or share the form as needed.

Take the next step in your process by filling out the Intake Interview Form online today.