Clinical Intake Worksheet 

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What is the theory behind this Clinical Intake Worksheet?

An intake assessment is a brief interview about all the presenting complaints, aspects, and related areas of life that can contribute to problems This assessment is conducted with individuals who come first time to seek mental health treatment. The worksheet has been designed by incorporating all the essential areas of interviewing that are required to asses in process of intake. 

How will the worksheet help?

Through this worksheet, you will be able to take a brief yet complete history of individuals’ problems. It touches every essential area of the life of the individual which will help you gather more knowledge about the client’s environment and living. It will help you assess their psychological and physical well-being at the same time.   

How to use the worksheet?

The worksheet requires you to take basic demographic information. The latter part is descriptive where you will ask questions related to different areas of individuals’ life as per mentioned guidelines and write brief history in columns for the record. In last there is a small checklist of mental status examinations to assess individuals’ psychological and physical functioning along with concluding remarks from the facilitators’ side. 

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