The Journal of White JoyComedy Division · Clinical Services · Fully Funded by Necessity

Confidential · Joy Repair · Clinical Services Division

New Client Intake Form

Comedy Division · Grief Welcome · Laughter Required

Please complete all fields honestly. There are no wrong answers. There are, however, very revealing ones.

Case No.: JR-2026-2561Clinician: Marc McAleavey, MSWDate: 9/9/2026

Client Name

Date of Birth / Founding

Referral Source

Presenting Problem

Duration of Problem

Previous Interventions Attempted

Thoughts and prayersA task forceA subcommittee of the task forceA strategic plan (unimplemented)A conveningA convening about the conveningA nonprofitAnother nonprofitIgnoring itA podcastLegislation (briefly)Nothing. That's why I'm here.

Level of Insight into Problem

Treatment Goals

Client Strengths

Relationship with Humor

Emergency Contact

Informed Consent

By submitting this form, you acknowledge that: (1) laughter is a valid therapeutic modality; (2) the truth does not require your comfort to remain true; (3) the clinician is also a client and finds this both hilarious and deeply necessary; and (4) the joke is the framework, the framework is the joke, and you came here for both.

I consent to being seen. I understand this may be uncomfortable. I'm here anyway.

* No data is stored. The healing happens in the reading.

"The funniest people in America have always been the ones carrying the most."

Case Notes Journal of White Joy Social Anesthesiology ← Joy Repair