Client intake summary
The client's own answers from the intake form.
Client
Name—
Session #—
Email—
Phone—
State—
Age 40+—
Employment
Employer—
Job title—
Industry—
Status—
Union member—
Legal & HR context
Spoke with HR—
On PIP—
PIP timeline—
Documenting—
Attorney—
Prior HR/legal action—
Client's desired outcomes
Notes from client
Scheduling notes—
Package code—
Intake submitted—
Complete this form after each client session. Your notes help us provide continuity of care and flag any follow-up actions needed. All fields marked with * are required.