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Choices Insight Counseling

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Reason for care

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1 Appointment info

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Reason for care

3 Contact information

What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues (child) Depression Grief Relationship issues (current or past) Substance use (current or in recovery) Trauma: childhood Trauma: domestic violence Trauma: specific event Trauma: other

What kind of care is being sought?

Counseling: Individual Counseling: Family (parent/ child) Counseling: Couples Counseling: Play Therapy (ages 5 and up) Court Mandated (divorce related, custody, probation) 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 Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Hospitalization

Have you been hospitalized in the past for a mental health condition?

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

Choices Insight Counseling

248.824.0942 |

Royal Oak

Main Location

1320 N Campbell Rd
Royal Oak, MI 48067-1555

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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.