{"id":719,"date":"2025-05-19T23:16:54","date_gmt":"2025-05-19T23:16:54","guid":{"rendered":"https:\/\/corecounselingstrategies.com\/staging\/5053\/?page_id=719"},"modified":"2025-05-30T02:34:24","modified_gmt":"2025-05-30T02:34:24","slug":"new-patient-assessment-form","status":"publish","type":"page","link":"https:\/\/corecounselingstrategies.com\/staging\/5053\/new-patient-assessment-form\/","title":{"rendered":"New Patient Assessment Form"},"content":{"rendered":"\n[et_pb_section fb_built=”1″ admin_label=”Header” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#f3eee8″ custom_padding=”0px||0px||true|false” collapsed=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” width=”100%” max_width=”none” min_height=”70vh” custom_padding=”0px||0px||true|false” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.23.2″ _module_preset=”default” background_enable_image=”off” background_position=”bottom_center” z_index=”10″ custom_padding=”10%|11%|10%|11%|true|true” custom_padding_tablet=”|20%||20%|true|true” custom_padding_phone=”||||true|true” custom_padding_last_edited=”on|tablet” global_colors_info=”{}”][et_pb_divider show_divider=”off” _builder_version=”4.23.2″ _module_preset=”default” width=”30px” height=”30px” custom_margin=”||30px||false|false” border_color_all=”rgba(0,0,0,0.17)” border_width_top=”1px” border_width_left=”1px” global_colors_info=”{}”][\/et_pb_divider][et_pb_image src=”https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-content\/uploads\/2025\/03\/branch-1-.png” title_text=”branch-1″ _builder_version=”4.23.2″ _module_preset=”default” positioning=”absolute” position_origin_a=”center_left” width=”20%” global_colors_info=”{}”][\/et_pb_image][et_pb_image src=”https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-content\/uploads\/2025\/03\/branch-2.png” title_text=”branch-2″ _builder_version=”4.23.2″ _module_preset=”default” positioning=”absolute” position_origin_a=”bottom_right” width=”20%” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.4″ _module_preset=”8fee181d-03e6-4c34-ba62-c5066a43de87″ header_font=”–et_global_heading_font|–et_global_heading_font_weight||on|||||” header_text_align=”center” header_text_color=”gcid-3c3581c1-f373-4686-aa51-f9f01c8ffd79″ header_font_size=”4vw” text_orientation=”center” custom_margin=”||10px||false|false” global_colors_info=”{%22gcid-3c3581c1-f373-4686-aa51-f9f01c8ffd79%22:%91%22header_text_color%22%93}”]

NEW PATIENT ASSESSMENT FORM<\/h1>[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”–et_global_body_font|500|||||||” text_text_color=”#000000″ text_font_size=”18px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]

Thank you for choosing Core Counseling Strategies in helping you take your first step in becoming the best version of yourself.<\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.27.4″ _module_preset=”default” background_image=”https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-content\/uploads\/2025\/03\/Contact_Us_Core_Counseling_Strategies_Delaware.jpg” parallax=”on” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default”][et_pb_column _builder_version=”4.27.4″ _module_preset=”default” type=”4_4″][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_font=”–et_global_heading_font|900||on|||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”50px” header_text_shadow_style=”preset1″ hover_enabled=”0″ sticky_enabled=”0″]

ASSESSMENT<\/h1>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_contact_form _builder_version=”4.27.4″ _module_preset=”default” _unique_id=”8089561e-a78b-4754-823c-44a3654aeddb” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″ captcha=”off” custom_button=”on” button_text_size=”1px”][et_pb_contact_field field_id=”Client’s_Full_Name” field_title=”Client’s Full Name” fullwidth_field=”on” _builder_version=”4.27.4″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” 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PSYCHOLOGICAL<\/h1>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default”][et_pb_column _builder_version=”4.27.4″ _module_preset=”default” type=”4_4″][et_pb_contact_form _builder_version=”4.27.4″ _module_preset=”default” _unique_id=”7a439031-ac8f-4710-8646-ab65d49f6f36″ hover_enabled=”0″ sticky_enabled=”0″ custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#DD5D41″ button_bg_enable_color=”on” button_border_color=”#57707C” button_border_width=”3px” button_font=”–et_global_body_font|800|||||||” button_use_icon=”off” button_text_size=”25px” success_message=”Thank you for submitting your assessment form to Core Counseling Strategies! 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src=”https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-content\/uploads\/2025\/02\/Core-Counseling-Logo-4final-100323_Hor-white.png” alt=”Core_Counseling_Strategies_Addiction_and_Relationship_Coaching_and_Counseling” title_text=”Core_Counseling_Strategies_Addiction_and_Relationship_Coaching_and_Counseling” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”–et_global_heading_font||||||||” text_text_color=”#ffffff” header_4_font=”Merriweather|–et_global_heading_font_weight|||||||” header_4_text_align=”center” header_4_text_color=”#ffffff” header_4_line_height=”1.3em” global_colors_info=”{}”]

A Behavioral Health
Treatment Program<\/span><\/h4>[\/et_pb_text][et_pb_social_media_follow _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”][et_pb_social_media_follow_network social_network=”facebook” url=”https:\/\/www.facebook.com\/CoreCounselingStrategies\/” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]facebook[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”twitter” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]X[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”instagram” url=”https:\/\/www.instagram.com\/corecounselingstrategies\/#” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]instagram[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”youtube” url=”https:\/\/www.youtube.com\/@corecounselingstrategies” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]youtube[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”linkedin” url=”https:\/\/www.linkedin.com\/company\/core-counseling-strategies” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]linkedin[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”tiktok” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#57707C” background_enable_color=”on” global_colors_info=”{}” follow_button=”off” url_new_window=”on”]tiktok[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_font=”–et_global_heading_font|800||on|||||” header_3_text_align=”center” header_3_text_color=”#ffffff” global_colors_info=”{}”]

CONTACT<\/h3>[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Merriweather|700|||||||” text_text_color=”#ffffff” text_font_size=”18px” text_orientation=”center” global_colors_info=”{}”]

102 Washington Street, Unit 5
Millsboro, DE\u00a0 19966<\/p>\n

(330) 904-1574<\/a><\/p>\n

wil@corecounselingstrategies.com<\/a><\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_font=”–et_global_heading_font|800||on|||||” header_3_text_align=”center” header_3_text_color=”#ffffff” header_4_font=”|700||on|||||” header_4_text_align=”center” header_4_text_color=”#ffffff” header_4_font_size=”20px” global_colors_info=”{}”]

HOURS<\/h3>[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Merriweather|700|||||||” text_text_color=”#ffffff” text_line_height=”1.2em” text_orientation=”center” global_colors_info=”{}”]

Monday – Wednesday
9:00am to 8:00pm<\/p>\n

Thursday
9:00am to 5:00pm<\/p>\n

Friday
9:00am to 2:00pm<\/p>\n

Saturday & Sunday
Closed<\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_font=”–et_global_heading_font|800||on|||||” header_3_text_align=”center” header_3_text_color=”#ffffff” global_colors_info=”{}”]

ABOUT<\/h3>[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_font=”Merriweather|700|||||||” text_text_color=”#ffffff” text_font_size=”18px” text_orientation=”center” global_colors_info=”{}”]

Meet Our Founder<\/a>
Programs<\/a>
HIPPA
Privacy Policy<\/a><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"

NEW PATIENT ASSESSMENT FORMThank you for choosing Core Counseling Strategies in helping you take your first step in becoming the best version of yourself.ASSESSMENTPSYCHOLOGICALA Behavioral Health Treatment ProgramCONTACT102 Washington Street, Unit 5Millsboro, DE\u00a0 19966 (330) 904-1574 wil@corecounselingstrategies.comHOURSMonday – Wednesday9:00am to 8:00pm Thursday9:00am to 5:00pm Friday9:00am to 2:00pm Saturday & SundayClosedABOUTMeet Our FounderProgramsHIPPAPrivacy Policy<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-719","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/pages\/719","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/comments?post=719"}],"version-history":[{"count":7,"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/pages\/719\/revisions"}],"predecessor-version":[{"id":730,"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/pages\/719\/revisions\/730"}],"wp:attachment":[{"href":"https:\/\/corecounselingstrategies.com\/staging\/5053\/wp-json\/wp\/v2\/media?parent=719"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}