Alteration in Family Processes (_)Actual (_) Potential Related To: [Check those that apply] (_) Illness of a family member:_____________________ (_) Loss/gain of family member due to:______________ ____________________________________________ (_) Change in family roles:_______________________ (_) Conflict:___________________________________ (_) Financial crisis:_____________________________ (_) Other:____________________________________ ____________________________________________ ____________________________________________ As evidenced by: [Check those that apply] Major: (Must be present) (_) Family system […]