Form preview

Get the free Therapy Client Intake Form Template for WordPrintable ...

Get Form
IV THERAPY INTAKE Forms intake form is a confidential health assessment tool designed to gain insight into your personal health status. When embarking on an individualized health plan it is important
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign therapy client intake form

Edit
Edit your therapy client 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 therapy client intake form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit therapy client 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 professional PDF editor, follow these steps below:
1
Sign into your account. It's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit therapy client intake form. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

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 therapy client intake form

Illustration

How to fill out therapy client intake form

01
Start by obtaining a therapy client intake form from the therapist or counseling center.
02
Begin filling out the form by providing your personal information such as your name, contact details, and date of birth.
03
Answer all the questions regarding your medical history, including any current medications you are taking and any past or present medical conditions.
04
Provide information about your mental health history, including any previous therapy or counseling you have undergone, and any current or past mental health diagnoses.
05
Answer questions about your current mental health concerns or reasons for seeking therapy. Include any specific symptoms you are experiencing or any specific goals you have for therapy.
06
Be honest and thorough in your responses, as this will help your therapist gain a better understanding of your needs and provide appropriate care.
07
If there are any sections or questions that you do not wish to answer or that are not applicable to your situation, you can leave them blank or indicate that they are not applicable.
08
Once you have completed the form, review it to ensure that all the information provided is accurate and complete.
09
Finally, sign and date the form to indicate your consent and agreement with the information provided.
10
Return the completed therapy client intake form to the therapist or counseling center before your scheduled appointment.

Who needs therapy client intake form?

01
Anyone who is seeking therapy or counseling services needs to fill out a therapy client intake form.
02
This includes individuals who are experiencing mental health issues, seeking professional help to improve their well-being, or exploring therapy as a form of treatment.
03
The therapy client intake form serves as a detailed record of the individual's personal and medical history, which helps the therapist or counselor assess their needs and develop an appropriate treatment plan.
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
4.3
Satisfied
23 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.

Yes. By adding the solution to your Chrome browser, you can use pdfFiller to eSign documents and enjoy all of the features of the PDF editor in one place. Use the extension to create a legally-binding eSignature by drawing it, typing it, or uploading a picture of your handwritten signature. Whatever you choose, you will be able to eSign your therapy client intake form in seconds.
Download and install the pdfFiller iOS app. Then, launch the app and log in or create an account to have access to all of the editing tools of the solution. Upload your therapy client intake form from your device or cloud storage to open it, or input the document URL. After filling out all of the essential areas in the document and eSigning it (if necessary), you may save it or share it with others.
With the pdfFiller Android app, you can edit, sign, and share therapy client intake form on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!
A therapy client intake form is a document that gathers essential information about a client before they begin therapy, including personal details, mental health history, and treatment goals.
Typically, any individual seeking therapy services is required to fill out a therapy client intake form as part of the initial assessment process.
To fill out a therapy client intake form, the client must provide accurate personal information, complete medical history, answer questions regarding their mental and emotional health, and outline their therapy goals.
The purpose of a therapy client intake form is to collect relevant information that helps therapists understand the client's background, needs, and objectives, enabling them to create an effective treatment plan.
The information that must be reported includes the client’s personal demographics, contact information, mental health history, significant life events, and any current medications or treatments.
Fill out your therapy client 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.