This article presents a tool useful in both therapeutic and educational settings: the Gestalt clinical assessment form. In the phenomenological, aesthetic and field perspective particular to the Gestalt therapy approach, the clinical assessment form offers guidelines that allow the summing up of the patient’s history in order to describe the ground of the experience actualised in the therapeutic setting and to consider the figure of contact, which is co-created in the patient-therapist relation. A brief introduction summarises the basic theoretical principles of Gestalt therapy underlying the form. As an example, the clinical assessment form is illustrated through a case report.
Keywords: Phenomenological description, anamnesis, symptomatology, id functions, phe-nomenological and aesthetic diagnosis, figure/ground formation, polyphonic development of domains, intentionality, aesthetic relational knowledge.