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Ready To Bloom Counseling, PLLC

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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?

Trauma Anxiety Depression Relationship concerns Pregnancy or Postpartum difficulties Birth/Delivery Trauma Self-Esteem concerns College stressors Career/Work stressors Identity (Racial, Ethnic, Cultural, etc.) Other

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

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 Attempted suicide in the past None of these apply

Have you attempted suicide within the past year?

Have you been admitted to a psychiatric hospital or medical hospital for mental health reasons during the past year?

Do you live in a household where there is persistent violence or danger?

Have you had thoughts of suicide or self-harm within the past six months?

Which of the following best describes your current substance use?

Note: I do not provide treatment for substance use disorders. If substance use is a concern, a list of appropriate external providers will be provided.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Ready To Bloom Counseling, PLLC

919.335.6793 |

Wendell

Main Location

Wendell, NC 27591-6919

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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.