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Attached is a sample client intake form that you may find useful within your practice. An intake form may assist in understanding your clients’ needs, objectives and overall goals. It can provide direction in creating a plan of action that meets your clients needs. It also allows for clear communication regarding your intent.  Additionally, it expresses your terms in working with a client and what they can anticipate from that session.

Requiring a client to complete a client intake prior to rendering services is a measure that helps provide the practitioner with necessary information to best assist the client.

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