Therapy Intake Form

A therapy intake form is a document that is used to collect information about a patient prior to beginning therapy. The form can be used by therapists, counselors, or psychologists to gather data about their patients. By using this free therapy intake form template, you can create your customized form in minutes!

Therapy Intake Form


Why do I need to use an online therapy intake form?

There are many benefits to using an online therapy intake form. For one, it can help save the therapist time and energy. The therapist can gather all of the information they need about the patient from the form, and they don't need to spend time gathering information from the patient during the initial meeting.

The form can also help ensure that the therapist has a complete picture of the patient's past and his/her mental health history. This can help them to better understand the patient's condition and to develop an effective treatment plan.

The form can also be helpful for the patient. It can provide them with a clear overview of the therapy process, and it can help them to track their progress during therapy. Here are some other reasons to use online inquiry forms for the intake process:

  • It can help save time and energy for everyone.
  • A client intake form can make better solutions and treatments possible
  • It explains the therapy process to the patient.
  • It can help obtain informed consent and act as a consent form.
  • It is easy to use and can be accessed from any computer or mobile device.

What do I ask in my therapy intake form?

The information collected on the form can include basic demographic information, such as name and address, as well as more in-depth information about the patient's medical history, mental health history, and family history. 

The form can also be used to track the progress of the patient during therapy, and to document any changes in the patient's condition. The therapist can use this information to help them determine the best course of treatment for the patient.

There are many different types of therapy intake forms, and each therapist may have their own version of the form. However, there are some common elements that are typically asked on typical counseling intake forms The following is a list of some of the most common details you may ask:

  • Personal information
  • Contact details
  • Health information
  • Any previous trauma or stressor
  • Medical history of family members
  • Consent (signature)

An evaluation form is a document that poses a series of questions for assessing an event, product, service, employee, or course. Evaluation forms can be created and used for many purposes, such as performance reviews, collecting feedback, assessing professional development, and so on.

Whether you create a form for assessing employee performance, customer satisfaction, teacher evaluation, or a self-evaluation, it helps form takers to reflect on recent events and make an assessment of the event, their colleagues, or themselves. Overall, here are the benefits of using online forms for evaluation:

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A typical evaluation form includes various form fields to get people’s opinions in the best way possible. These form fields can be, for example, selection fields, text fields, rating scales, etc. In addition to your assessment form questions, it is also possible to use form fields to collect essential details, such as name, department, or contact information. However, you may avoid these questions to give your respondents anonymity, based on your policies.

As a powerful form builder, provides all of the necessary fields and allows you to ask questions in any way you want. For instance, you can provide your respondents with pre-given given responses with selection fields or get detailed responses by asking open-ended questions.

To create your own form, you need a form creator tool, like here. With its easy-to-use interface, robust features, and evaluation form examples, allows you to create your own review forms without any coding. All you have to do is sign in to your account and follow the steps below:

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