Get New Counseling Services Personal Information Form2011-12

Completing the New Counseling Services Personal Information Form2011-12 online is an important step in establishing a relationship with your counselor. This guide will provide you with clear, step-by-step instructions to ensure you accurately fill out the form.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by entering today's date for the form. This helps to document when the form was filled out.
3. Fill in your name, age, and date of birth accurately. These details help your counselor get to know you better.
4. Provide your local address, including city and phone number. Then, fill in your permanent address, if different.
5. Enter your preferred email address for communication regarding counseling services.
6. Indicate your academic standing by selecting the appropriate option from the list provided. This might include statuses such as freshman, sophomore, junior, senior, or graduate.
7. Input your student ID number, major, minor, and GPA in the designated fields to provide context about your academic experience.
8. Identify your academic advisor and indicate whether you are a veteran, and if you were referred by someone.
9. Select whether you identify as an international student and describe your ethnicity if you wish to do so.
10. In the family background section, provide information about your primary parent figures, including their living status and occupations.
11. List your siblings in order from oldest to youngest, including their ages. If applicable, mention any children you may have.
12. Indicate your spouse's or partner's first name if you have one, and describe your current employment situation.
13. Check any relevant family history items that apply to you, which helps your counselor understand your background.
14. Fill out your alcohol and other drug use patterns by selecting appropriate frequency options.
15. Disclose any past treatment for substance abuse and whether you have seen a mental health professional before.
16. Provide information about any treatment or medications you are currently prescribed.
17. Respond to questions regarding self-harm, hospitalization for mental health issues, and experiences of trauma or harassment.
18. Indicate whether you have health insurance and if so, provide the name of the insurance. Also note if you have a documented disability.
19. Reflect on your distress levels over the past weeks and share any long-term educational or personal goals.
20. Finally, list concerns you wish to address in counseling. This may include a variety of personal, academic, or emotional issues.
21. Once you have filled out all sections, make sure to save your changes, download, print, or share the form as necessary for your records.

Complete the New Counseling Services Personal Information Form2011-12 online today to take the first step towards your counseling journey.