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Counsellor observations/comments: Safety or reporting concerns (e.g. Crisis, Abuse): Referral/Involvement of other agencies: Referral documentation completed: Client Evaluation: I felt heard and understood? I

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Counsellor observations/comments: Safety or reporting concerns (e.g. Crisis, Abuse): Referral/Involvement of other agencies: Referral documentation completed: Client Evaluation: I felt heard and understood? I am happy with the goals we have set. Special Needs information (e.g. disability): Clients identified needs (prioritise these) : Goals Steps/Actions Timeframe

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