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Hautz Counseling LLC

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Reason for care

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What are your top priorities in seeking speciality mental health services at this time?

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Which services are being sought?

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Individual Intensive Therapy Formal Autism and ADHD Diagnostic Assessment The Lux Intensive Brainspotting via the RMBI STF

Current and Past Mental Health Care Experiences

Currently in mental health therapy Have been hospitalized for mental health reasons before Currently misusing substances Currently have extreme paranoia and/or active psychotic symptoms Currently managing self injurious or self harm behaviors Currently have thoughts to end my life Have attempted to end my life before Currently have thoughts to harm others, or to end someone else's life Have attended a higher level of care like Intensive Outpatient or Partial Hospitalization Programming before Currently have disordered eating habits None of the above in the past or present

Please Check the Box below signifying that you know to utilize the following Resources if a Crisis and/or Mental Health emergency occurs. Hautz Counseling is not a crisis service.

To Call: 988 (The National Lifeline), Crisis RESOLVE 888-796-8226, or 911 immediately. To text: 741-741. For services that do not contact the police: https://www.inclusivetherapists.com/crisis

Yes I am aware of the Crisis Resources available to me.

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

Hautz Counseling LLC

412.426.5661 |

Pittsburgh

Main Location

Pittsburgh, PA 15238-3129

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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.