Individual Intake Couples Intake Form Please take a moment to complete & submit the following information. PLEASE NOTE, if you are scheduled for couple's counseling, EACH PARTNER must complete & submit an intake. Should we NOT receive the information from both partners prior to your first appointment, we will take the time to complete the intake in office during your scheduled time. PERSONAL INFORMATIONName of your therapist:* Laura Santomauro, LMFT Steve Badgett, Phd, LCSW Margaret Brigham, MA Name* First Last Partner's Name* First Last Address* PO Box City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of birth - month, day, year*Phone*Email address*May we contact you via text?* Yes No I prefer email I prefer phone call Relationship Status* Single Engaged Married Divorced Number of childrenList children names and agesPRESENTING PROBLEMWho referred you to JHFS?*Reason for referral.*Briefly describe presenting problem (why you have made an appointment)*How long has problem occured?*Briefly outline your goals for therapy*Briefly describe previous treatment for this issue. Who did you see before and for how long?*Briefly describe any relationship strengths:*Please list any medications you are currently taking and for what purpose as it relates to these issuesWho is the prescribing doctor?PERSONAL HISTORYI am currently receiving individual counseling* Yes No If YES, please list provider and reason for being in individual counseling.I have received individual counseling in the past.* Yes No If YES, please list provider and reason for being in individual counseling.Do you have personal history of suicide attempt/ideation?* Yes No If YES, please list dates and briefly describe historyDo you have personal history of mental health hospitalization?* Yes No If YES, please list dates and briefly describe historyPERSONAL HISTORY - substance abuse/addictionsPersonal history with abuse/addictions.* Yes No Do you have a personal history with addictions?* drugs/alcohol sex or porn food OTHER NONE Have you received previous OUTPATIENT treatment for this issue? Yes No If YES, please list dates, facility and outcomes.Have you received previous INPATIENT treatment for this issue? Yes No If YES, please list dates, facility and outcomes.Are you currently active?* Yes No Date of last use Date Format: MM slash DD slash YYYY PERSONAL HISTORY - sexual traumaDo you have personal history of sexual trauma?* Yes No If YES, please list dates/ages and briefly describe history... . to the best of your abilityHave you received previous counseling for this issue? Yes No If YES, please list dates, providers and outcomesPERSONAL HISTORY - family violenceDo you have personal history of family violence - verbal abuse or physical abuse?* Yes No If YES, please list dates/ages and briefly describe history.... to the best of your abilityHave you received previous counseling for this issue? Yes No If YES, please list dates, providers and outcomesPlease list any additional information you feel is important for therapist to knowRELATIONSHIP HISTORYAffair history in relationship?* Yes No Name of partner who had an affair.When did affair occur and for how long?Has affair been disclosed? Yes No Date of disclosure Date Format: MM slash DD slash YYYY Is the affair ongoing? Yes No Have you received previous couples counseling for this issue? Yes No If yes, please indicate when you received counseling, for how long and the providerIs there relational history of domestic violence?* Yes No Who engages in violent behaviors Partner Self Both Is domestic violence ongoing? Yes No Has there been treatment for issue? Yes No If yes, please indicate if, when, where you received couples counseling for this issuePartner history of substance abuse?* Yes No Is partner currently abusing substances?* Yes No If yes, please indicate substance(s) and frequency. Please describe impact on relationship functioning.Please outline relationship goals - in what ways do you hope your couples relationship will be different as a result of EFT therapy?*Additional info you feel is important for your therapist to knowAdditional questions you have regarding the counseling processNameThis field is for validation purposes and should be left unchanged.
