Get Cairn University Adolescent Intake Form (14 – 17) 2021-2025

Filling out the Cairn University Adolescent Intake Form is a key step in beginning your counseling journey. This guide provides clear, step-by-step instructions to help you complete the form online, ensuring that you provide all necessary information for effective counseling.

Follow the steps to successfully complete the form.

1. Press the 'Get Form' button to access the Cairn University Adolescent Intake Form, ensuring you have it available for completion.
2. Begin filling out the client contact information. Start with the date and the name of the person who referred you, if applicable. Provide your name, date of birth, age, mailing address, phone numbers, and email address. Make sure to indicate if you would like to receive messages at the provided phone numbers and email.
3. Next, fill in the parent/guardian contact information sections. You should provide details for two guardians, including their names, dates of birth, relationships to you, addresses, phone numbers, and email addresses along with consent for communication if preferred.
4. Proceed to the academic information section. Indicate your school name, grade, and how you feel about your overall experience at school by selecting the corresponding rating. Include details about any sports or activities you participate in and the names of your closest friends.
5. In the counseling purpose section, articulate what brings you to counseling and assess the severity of the problem you are experiencing. Rate your current level of emotional pain and indicate whether you have sought counseling previously.
6. Complete the health and substance use questions. Answer whether you are on any prescription medications, have experienced surgery, or have a history of alcohol or drug use. This information is vital for your counselor to tailor their approach.
7. Fill out the family history section by checking conditions related to mental health in your family. List current or past concerns you are experiencing regarding your mental health.
8. Reflect on your strengths and what you enjoy doing in your free time. This information will help your counselor understand you better.
9. At the end of the form, provide details about your parents' marital status, counselor preference, and availability for counseling sessions. Indicate your counseling goals.
10. Once all sections are completed, review your responses for accuracy. Save your changes, then download, print, or share the form as needed for your appointment.

Take the next step toward your well-being by completing the Cairn University Adolescent Intake Form online today.