top of page

Adult Intake Form

 

  • Complete Adult Intake Form 
  • Editable formats to personalize fomat, questions, branding, etc.
  • Sample of sections include:
    • Client Information
    • Medical History
    • Psychiatric History
    • Personal History
    • Primary Concern
    • Exercise History
    • Current Symptom Checklist

Adult Intake Form

$8.99Price
  • Purchase includes digital downloads in the following formats:

    • Microsoft Word (editable)
    • Pages for Mac (editable)
    • PDF

678-765-9291

1431 Riverside Pkwy, Suite A

Lawrenceville, GA 30043

  • Facebook
  • Instagram
  • LinkedIn
Gwinnet Chamber of Commerce Member Logo
Best of Gwinett 2020 Award Ribbon
Best of Gwinett 2021 Award Ribbon
Best of Gwinett 2022 Award Ribbon
BOGOfficial-Ribbon-2023-Best-RGBforWEB.png

Freedom Path Counseling is a registered 501(c)3 organization. Tax ID # 83-2210496. Your donations to Freedom Path Counseling are tax deductible to the fullest extent allowed by law.

©2018-2024 Freedom Path Counseling, Inc. All Rights Reserved.

bottom of page