Counselling Client Intake Form

Counselling Client Intake Form

Begin Your Support Journey

Welcome to Ease of Mind's Counselling Client Intake Form. This form allows us to understand your needs and provide the best possible support. Completing this intake form is the first step in your counselling journey and ensures we’re prepared to help you effectively and compassionately. We prioritize your privacy and handle all information confidentially. Please take a few moments to fill out this form before scheduling your initial session.

Instructions for Completing the Intake Form:

How to Complete the Form:

Step 1: Review each section and provide information about yourself, including contact details and any preferences you may have for counselling.

Step 2: Answer questions about your current wellbeing and goals for counselling. This helps us tailor our approach to meet your needs.

Step 3: Carefully read the consent and privacy agreement at the end of the form.

Step 4: Tick the box indicating your agreement to the terms and conditions outlined.

Once completed, your intake form will be securely submitted to our team. We will contact you to confirm the next steps and discuss available session times.

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