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Therapy Intake form

Hi, I'm Sphurti, and I'll be your therapist. Taking the first step to therapy can be difficult, and I'm glad you're here!

Name

Age

Phone Number (This will help me get in touch with you so that we can meet for the first session)

Occupation

Occupation
A
B
https://storage.tally.so/e1c653c3-bab6-49d3-ba7d-baf681d6a5fd/session-details.jpeg
My working hours are as follows:
Monday-Saturday: 2-9 pm
Sunday: 10-2pm
Tuesdays are off
You may book a slot in any of these preferred hours.

Preferred day:

Preferred time

The first session of therapy involves us establishing some basic agreements within our therapeutic contract. It also involves me understanding your life context and background through some basic information, and learning more about what brings you to therapy. Within the first few sessions, we will collaboratively set some therapy goals, and then work towards achieving those.
Therapy is a novel and unique experience, and it's okay to feel confused, lost or scared. If you have any questions about it, please feel free to drop them on here.
I'll try my best to answer as soon as I can!

Do you have any questions about the process of therapy?