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Motivational Interviewing (MI)

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General Psychotherapy Modalities
Motivational Interviewing (MI)

Helps clients find their motivation for change.

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Intake Form

Step 1 of 3 - Patient Details

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Are you currently experiencing thoughts of suicide?

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If you’re feeling overwhelmed or struggling with thoughts of suicide, please know that you are not alone. There are people who care about you and want to help. You can reach out to the Suicide & Crisis Lifeline by calling 988 or visiting 988lifeline.org for immediate support. If you are in an emergency, please call 911 or go to the nearest emergency room. Your life is important, and reaching out for help is a strong and courageous step.

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Patient Details

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Have You Been Court Ordered to Therapy??(Required)

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Are Restrictions Specified for Either Parent in the Agreement?(Required)

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Are custody Issues present?(Required)

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Briefly Explain Issues(Required)

Insurance Info

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Are You In Network?(Required)

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Have You Been Seen Yet?

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Benefits 1 of 2

Is Provider In Network?

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Type of Service Requested

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