Intake forms are commonly used in medical, mental health, legal, and social service settings, but they may also be used in other contexts, such as education or employment. The information collected by an intake form is typically kept confidential and used only for providing services to the resp...
This paper is an overview of the intake process for mental health helping professions. We intend for this piece to serve as a teaching resource, useful as
This will depend on your industry, services provided, and client requirements. Create the Form: Use a tool like Microsoft Word, Adobe PDF, or Google Docs to create your client intake form. Add fields for each required piece of information, such as text fields for names and addresses, drop...
Client Information Your First Name:* Your Last Name:* How do you like to be contacted?* Phone Email No Preference Please select the frequency that you're interested in:* Select Caret symbol Is there anything else you’d like to share with us?
Journal of Behavioral Health Services & ResearchBrems C., Johnson M. E., Namyniuk L. L. (2002) Clients with substance abuse and mental health concerns: A guide for conducting intake interviews. Journal of Behavioral Health Services and Research 29:327–334...
Figure 1. Participant flow diagram for NutriNet-Santé e-cohort participants included in the current analysis. Abbreviations: STAI-T, Spielberger’s State-Trait Anxiety Inventory Form Y. Table 1. Descriptive characteristics of the NutriNet-Santé participants according to sex and tertiles of caffei...
Current global epidemiological data estimate that one child in five is expected to develop some form of mental health problem before reaching adulthood, and that 50% of all adult mental health problems develop in childhood and adolescence [3]. This highlights the importance of early prevention and...
Provider (Mental Health Professional) Preferences Provider ZIP/Postal Code* Distance willing to travel Gender Preference Additional Provider Preferences Availability* Who will be attending counseling in addition to you? Please note that you are not permitted to request individual counseling services for ano...
These healthcare marketing ideas range from far-reaching, tech-based strategies to community involvement to personalized assistance.
207 women between the ages of 55 and 65, who were oversampled for mental health issues including history of trauma/traumatic stress and depression, provided up to four stool samples and a fasting blood sample [21]. The Brigham and Women’s Hospital and Harvard T.H. Chan School of Public ...