Child/Teen Intake Paperwork

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This intake paperwork was developed by a clinical psychologist. This paperwork contains a page to write down the presenting problem from both the child’s and parent’s perspective. There are then three pages that contain a place to obtain background history (Parent/Guardian General Information, Child’s living arrangements, Family Life Domain Deficits and/or Stressors, Family history of drugs/alcohol abuse, Family History of Psychiatric Illnesses, Developmental History, and Child’s Education/School history). The paperwork also contains a diagnostic checklist derived from the DSM-5. It also includes a Social Skills Survey, Kinetic Family Drawing, and Sentence Completion Form.

Once downloaded, you will be able to use this document as much as possible.

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This intake paperwork was developed by a clinical psychologist. This paperwork contains a page to write down the presenting problem from both the child’s and parent’s perspective. There are then three pages that contain a place to obtain background history (Parent/Guardian General Information, Child’s living arrangements, Family Life Domain Deficits and/or Stressors, Family history of drugs/alcohol abuse, Family History of Psychiatric Illnesses, Developmental History, and Child’s Education/School history). The paperwork also contains a diagnostic checklist derived from the DSM-5. It also includes a Social Skills Survey, Kinetic Family Drawing, and Sentence Completion Form.

Once downloaded, you will be able to use this document as much as possible.

This intake paperwork was developed by a clinical psychologist. This paperwork contains a page to write down the presenting problem from both the child’s and parent’s perspective. There are then three pages that contain a place to obtain background history (Parent/Guardian General Information, Child’s living arrangements, Family Life Domain Deficits and/or Stressors, Family history of drugs/alcohol abuse, Family History of Psychiatric Illnesses, Developmental History, and Child’s Education/School history). The paperwork also contains a diagnostic checklist derived from the DSM-5. It also includes a Social Skills Survey, Kinetic Family Drawing, and Sentence Completion Form.

Once downloaded, you will be able to use this document as much as possible.