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Intake notes are a type of note used specifically in psychotherapy settings and mental health. They include detailed information about the mental health history of the client, current symptoms and concerns, as well as personal and social history, family history, and any previous treatment received.
All intake forms regardless of the scope should contain the following information: Client's first and last name. Client's birthdate and age. Client's gender and marital status. Client's address, home phone number, and cellphone number. Client's email address. Client's occupation and employment information.
These separate "process notes" are what we are calling "psychotherapy notes." Summary information, such as the current state of the patient, symptoms, summary of the theme of the psychotherapy session, diagnoses, medications prescribed, side effects, and any other information necessary for treatment or payment, is ...
Building the therapeutic relationship, hope, and motivation. The conversation at the beginning of a session is designed to build the therapeutic relationship. ... Assessment. The second part of all modern sessions focuses on assessment. ... Goal- and agenda-setting. ... Doing therapy and counseling. ... Between-session work. ... Wrap-up.
The form typically includes personal information, such as the client's contact details, medical history, and current concerns and reasons for seeking therapy. The therapy intake form is important because it provides the therapist with critical information about the client to help guide the therapy process.