To make our first meeting more productive, please give accurate and complete responses to every section of this
form. If necessary, write additional information in the margins.
For Individual Therapy
COUNSELING is a confidential process designed to help you address your concerns, come to a greater understanding of yourself, and
learn effective personal and interpersonal coping strategies. It involves a relationship between you and a trained therapist who has the
desire and willingness to help you accomplish your individual goals. Counseling involves sharing sensitive, personal, and private
information that may at times be distressing. During the course of counseling, there may be periods of increased anxiety or confusion. The
outcome of counseling is often positive; however, the level of satisfaction for any individual is not predictable. Your therapist is available
to support you throughout the counseling process.