Follow the steps to complete the intake form with ease.

1. Press the ‘Get Form’ button to access the intake form and open it in your preferred editor.
2. Begin filling out the 'Your Info' section. Here, provide your name, address, and contact information. If applicable, include your partner's or spouse's details in the designated fields.
3. Next, indicate your personal status by selecting the appropriate options such as engaged, married, or separated. Make sure to include information about any children, providing their names and ages.
4. You will be asked how you became aware of the services. Please describe briefly how you found Riverbend Counselling.
5. Provide details regarding your health, including any medical conditions or medications that may concern you or your family members.
6. In the 'Occupational Information' section, fill in your occupation and your partner's or spouse's occupation if applicable.
7. Specify your emergency contact's name and phone number.
8. Reflect on your previous experience with counselling or coaching. If applicable, mention the dates and names of professionals you have consulted.
9. Document your main concerns that bring you to seek counselling. Take your time to outline what you hope to achieve through this process.
10. At the end of the form, read the Client Notice carefully, then provide your signature and date to certify that the information is correct and that you agree to the treatment terms.
11. If you are a parent or guardian submitting on behalf of a minor, ensure you sign in the respective section, providing your details and the child's date of birth.
12. Once completed, save your changes, download the form for your records, and email it to contact@riverbendcounselling.ca.

Start completing your intake form online today for a smoother counselling experience.