Get Stenzel Clinical Services Client Intake Form 2016-2026

Completing the Stenzel Clinical Services Client Intake Form is an essential first step in accessing therapeutic services. This guide provides clear instructions to ensure that you fill out the form accurately and completely, improving your experience and facilitating the counseling process.

Follow the steps to successfully fill out the form online

1. Click ‘Get Form’ button to obtain the intake form and open it in your editor.
2. Begin by entering the client’s full legal name, date, address, and contact information in the designated fields. Make sure the information is current and accurate.
3. Fill out the family member names, their dates of birth, and their relationship to the client. This section helps in understanding the client's support system.
4. Indicate how you were referred to Stenzel Clinical Services by selecting an option from the list provided.
5. Complete the insurance information section. Present your insurance card during your first visit or check the box if insurance is not being used.
6. Provide details regarding your employment and education status. This includes your place of employment, job title, and highest education completed.
7. Answer questions regarding your family background and history of counseling, substance abuse, and any abuse you may have experienced.
8. Detail any medical conditions and current medications by taking time to accurately document this information.
9. Articulate your reasons for seeking therapy and your goals by providing clear and specific information to assist your therapist in understanding your needs.
10. Complete the checklist at the end of the form by checking any items that apply to you presently to help your therapist better understand your situation.
11. Review all filled information for accuracy, then save your changes. Options to download, print, or share the form will usually be available after completing the process.

Take control of your mental health by completing the Stenzel Clinical Services Client Intake Form online today.