Form preview

Get the free Client Info Intake Form - Therapist in Durham NC

Get Form
CLIENT INTAKE FORM Please fill out and bring to first appointment. Today's date Client name Preferred name Home address Home # Cell # Is it safe×ok to call you at these numbers? Work # YES NO UNSURE
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign client info intake form

Edit
Edit your client info intake form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your client info intake form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit client info intake form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit client info intake form. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out client info intake form

Illustration

How to fill out a client info intake form:

01
Start by carefully reading and understanding the instructions provided on the form.
02
Begin by entering your personal information, such as your full name, contact details, and any other required information.
03
Provide information about the purpose of your interaction or the reason why you are filling out the form.
04
Answer any demographic questions, such as age, gender, occupation, etc., if applicable.
05
If the form requires you to provide medical or health-related information, be thorough and accurate in your responses. This may include details about any existing medical conditions, medications you are currently taking, or any allergies you may have.
06
If the form requests financial information, ensure that you provide accurate details such as your income, assets, or any financial commitments.
07
Double-check that you have filled out all the necessary fields and haven't missed any sections.
08
Review your responses to make sure they are accurate and complete before submitting the form.

Who needs a client info intake form?

01
Medical professionals: Doctors, therapists, and healthcare providers often require client info intake forms to gather necessary medical history, allergies, and other relevant information.
02
Legal professionals: Attorneys and law firms use client info intake forms to collect personal and case-related details to assess and provide legal assistance.
03
Service-based businesses: Companies in various industries, such as spas, salons, and fitness centers, may use intake forms to understand clients' preferences, health conditions, or customize services.
04
Educational institutions: Schools, colleges, and learning centers may require intake forms to gather student data, emergency contact information, and any special needs or accommodations.
05
Nonprofit organizations: Charitable organizations often use intake forms to understand the needs, preferences, and demographics of the individuals they assist.
06
Businesses providing professional services: Consultants, coaches, or freelancers may ask clients to complete intake forms to understand their goals, challenges, and expectations before providing personalized services.
Remember, the specific need for a client info intake form can vary depending on the industry, type of service, or organization.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
61 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You may use pdfFiller's Gmail add-on to change, fill out, and eSign your client info intake form as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.
Install the pdfFiller Google Chrome Extension to edit client info intake form and other documents straight from Google search results. When reading documents in Chrome, you may edit them. Create fillable PDFs and update existing PDFs using pdfFiller.
Create your eSignature using pdfFiller and then eSign your client info intake form immediately from your email with pdfFiller's Gmail add-on. To keep your signatures and signed papers, you must create an account.
The client info intake form is a document used to collect important information about a client.
Any individual or company who is providing services or products to a client may be required to file a client info intake form.
The client info intake form can be filled out by providing accurate information about the client, their needs, and any relevant details.
The purpose of the client info intake form is to gather necessary information that will help in providing the best possible service to the client.
The client info intake form may require details such as client's name, contact information, preferences, requirements, and any other relevant information.
Fill out your client info intake form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.