Intake Forms
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Email *
Instructions
I recommend that you set aside 45 minutes to complete the following intake forms (if it takes much longer than that, you are probably providing more details than required at this point in time).

For legal purposes, at the utmost minimum I require that you complete the sections marked with an asterisk (*). Only complete additional billing information if under 18 or the billing address is different.

Billing information:
- Client details*
- Parent/guardian details (if u/18)
- Billing address (if different to client/parent/guardian details)
- Emergency contact*

Contract*

By completing the Background Information section, you save a lot of time during your initial intake session.

Background information:
- Why are you here?
- Early Childhood
- School and Recreation
- After School
- Career
- Intimate Relationships
- Family History
- Medical History
- Spirituality and Worldview



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