Psychotherapy Intake Forms are used to gather important information about a client before they begin therapy. These forms typically include questions about the client's personal and contact information, medical history, mental health background, current symptoms or concerns, past therapy experiences, and goals for therapy. The purpose of these forms is to provide the therapist with a comprehensive understanding of the client's background and current circumstances, which can help inform the therapeutic process and ensure that the client's needs are addressed effectively.
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This form is used for client psychotherapy intake. The form is provided by Rachel Goldstein, Psy. D., a licensed psychotherapist. It is used to collect essential information about the client's background, mental health history, and goals for therapy.