Follow the steps to complete the Cbt Intake Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin with the patient information section. Fill in your full name, preferred name, date of birth, age, gender, best contact number, email address, and your residential address.
3. Provide information about your primary care physician, including their name and phone number. Indicate your current marital status by checking the appropriate box.
4. On a scale from 1-10, rate your current relationship. Then, select the highest degree you have obtained from the options provided.
5. Describe your current employment status and, if applicable, your occupation.
6. In the psychiatric history section, briefly state the primary reason for your visit today, checking any relevant symptoms, and indicate if you are currently receiving mental health care.
7. Answer the questions regarding your psychiatric history, including previous mental health treatments and any medications you are currently taking.
8. In the family history section, indicate any family members who have experienced similar mental health issues.
9. Provide details on your medical history, current medications, alcohol or tobacco use, and your exercise habits.
10. Follow with the goals section, where you can document the outcomes you seek from therapy and any additional information you wish to share.
11. Fill out the questionnaires related to anxiety and depression, ensuring you provide accurate responses based on your experiences.
12. Finally, check all your entries for accuracy and completeness. Once satisfied, save the changes, and choose to download, print, or share the form as necessary.

Complete your Cbt Intake Form online today to take the first step toward your mental health journey.