Your History and What Brings You and Your Child to Counseling
Dear Parents and Guardians: Please fill out this form on behalf of your child. If your child is a teenager, it may be helpful to have a conversation with him or her as you fill in the information together.
It can be helpful to do a little thinking or writing about your child’s past life events, challenges and strengths. So take a few minutes to jot down your thoughts about the following areas of your child’s life. This will help us better get to know you and your child. For some people, writing down some or all of this information might be emotionally difficult. If so please fill out what you feel comfortable with. These questions will help clarify your child’s challenges, strengths, and experiences which will help us in our work together.