MARIANNA SERENITY CENTRE
Intake Form
Thank you for choosing Marianna Serenity Centre (MSC). This form helps us understand your current concerns, relevant personal history, well-being needs, and the type of support that may be appropriate for you.
Please answer the questions as honestly as you feel comfortable. You do not have to provide information that is not relevant to your care or that you are not ready to disclose.
Advancing Soul Wellness, Strengthening Systems, Sustaining Impact.
PRIVACY & CONFIDENTIALITY:Â Your counselling sessions are 99% private and confidential. Your counsellor will not ordinarily disclose information you share with them to anyone else. The exception is where there is an indication of serious self-harm or intended harm to another person, in which case confidentiality may need to be limited to the extent necessary to protect you or others and ensure appropriate safety and support.
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