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Inclusive Minded Counseling & Consulting, LLC

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Reason for care

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1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

[ES] ¿Motivo por el cual buscas terapia?

Anxiety / Ansiedad Depression / Depresión Trauma Survivor (PSTD & Complex PTSD) / Sobreviviente de Trauma (TEPT | TEPT complejo) Attentional difficulties / Dificultades de atención Grief / Duelo Relationship issues & Attachment / Problemas de relación y apego Behavioral issues / Problemas de conducta Substance use / Uso de sustancias Other / Otro

What mental health concerns or treatment have occurred in the past?

[ES] ¿Qué preocupaciones de salud mental o tratamientos han ocurrido en el pasado?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Are you currently experiencing domestic violence?

[ES] ¿Actualmente estás viviendo violencia doméstica?

Are you currently experiencing an active substance use disorder?

[ES] ¿Actualmente estás viviendo un trastorno / abuso activo por uso de sustancias?

Are you currently experiencing active suicidal ideation?

[ES] ¿Actualmente estás teniendo ideación suicida activa?

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

Inclusive Minded Counseling & Consulting, LLC

801.210.1686 |

Taylorsville

Main Location

Taylorsville, UT 84123-4217

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.