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Client Intake
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General Information
Are you currently in or have you had any form of mental health counseling or therapeutic work?
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If yes, please indicate the duration of the work (how frequently you met and for how long), and share what the experience(s) has been like for you. Any questions or concerns?
Would you like me to connect with your current therapist to get a better idea of the work you are doing? This can help bypass some of my necessary therapeutic questioning for assessment. (If so, you will need to sign a release.)
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Have you ever had a Reiki session?
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Any experience with other spiritual, energetic or healing modalities?
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If yes, please list and share what the experience(s) was like for you. Any questions or concerns?
What brought you to High Priestess in Chucks, LLC? What specific issues would you would like to focus on during our work together?
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What do you hope to accomplish with our therapeutic and healing sessions?
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Do you have any concerns or questions related to our sessions? Is there anything else you’d like me to know?
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Please list any treatments and medications you are currently receiving:
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