Submit the completed Individual Counseling Record form to your unit's counseling record-keeping office. You can email it to counseling@unit.mil, fax it to (123) 456-7890, or submit it via your unit's online submission platform. Physical submissions can be sent to: Counseling Office, Unit XYZ, 123 Military Base Road, City, State, ZIP Code. Our advice: ensure all sections are filled out accurately and signatures are obtained to avoid delays.

This form should be updated annually to capture the latest counseling sessions and recommendations. Ensure all submissions are completed by December 2024 and December 2025 respectively for yearly record-keeping.

The purpose of the Individual Counseling Record form is to document counseling sessions in a systematic and thorough manner. This form ensures that all essential information is recorded, from personal data to recommendations provided during the session. It helps maintain transparency, accountability, and continuity of action in counseling efforts.

• 1. Name: Enter the last name, first name, and middle initial of the individual being counseled.
• 2. Grade: Enter the grade of the individual being counseled.
• 3. SSN: Enter the Social Security Number of the individual.
• 4. AFSC: Enter the Air Force Specialty Code.
• 5. Duty Phone: Enter the duty phone number.
• 6. Unit/Office Symbol: Enter the unit or office symbol.
• 7. Reason for Counseling: State the reason for the counseling session.
• 8. Other Information: Provide any additional information such as marital status, course graduation date, or date assigned.
• 9. Summary of Counseling: Provide a detailed summary of the counseling session, including facts, dates, times, names, and sequence of events.
• 10. Recommendations and Advice of Counselor: Enter the counselor's recommendations and advice.
• 11. Name, Grade and Duty Title of Counselor: Provide the counselor's name, grade, and duty title.
• 12. Signature: Obtain the counselor's signature.
• 13. Date: Enter the date of the counseling session.
• 14. Summary of Counselee's Comments: Summarize the comments of the individual being counseled or indicate if none.
• 15. Name and Grade of Counselee: Enter the name and grade of the individual being counseled.
• 16. Signature: Obtain the individual counselee's signature.
• 17. Referral Agencies Recommended: List any referral agencies recommended, such as Personal Affairs, Chaplain, Legal Assistance, Medical, Social Actions, Red Cross, etc.
• 18. Commander's Comments: Provide comments from the commander, if any.
• 19. Name and Grade of Commander: Enter the name and grade of the commander.
• 20. Signature: Obtain the commander's signature.
• 21. Date: Enter the date of the commander's comments.

Failure to submit this form can result in a lack of documentation for important counseling sessions. This can impact the individual's record and progress tracking.

• Incomplete Records: Missing or incomplete records can affect future counseling and decision-making.
• Lack of Accountability: Failure to submit the form means there is no official record of the counseling session.
• Missed Referrals: Important referrals to other agencies may not be documented or followed up on.

• 1. Initial Counseling: Record initial counseling sessions for new personnel.
• 2. Follow-Up Counseling: Document follow-up sessions to track progress and provide additional recommendations.
• 3. Issue Resolution: Use the form to document sessions focused on resolving specific issues or concerns.
• 4. Performance Counseling: Record counseling sessions related to performance evaluations and feedback.
• 5. Referral Documentation: Use the form to document referrals to external agencies or services.