Form preview

Get the free Client Intake Form - Kelly C. Rivinius, Psy. D.

Get Form
KELLY C. VILNIUS, PAY. D. LICENSED CLINICAL PSYCHOLOGIST (CA PAY 28377)Confidential Client Information Welcome. I want to make the most of each appointment you have with me. One way of doing this is
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign client intake form

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

Editing client intake form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in to account. Start Free Trial and register a profile if you don't have one yet.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit client intake form. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

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 intake form

Illustration

How to fill out client intake form

01
Start by collecting the necessary information from the client, such as their name, contact details, and any relevant background information.
02
Create a clear and organized form with sections or fields to gather the required information. This can be done either manually or using an online form builder.
03
Clearly label each section or field with the information you are requesting, such as personal details, medical history, or legal paperwork.
04
Provide clear instructions or examples for each section to ensure the client understands how to fill out the form correctly.
05
Make sure the form includes any necessary legal disclaimers or consent forms, depending on the purpose of the intake form.
06
Consider adding an option for the client to provide additional comments or information that may be relevant to their situation.
07
Test the form to ensure it is functioning properly and that all required fields are properly validated.
08
Once the form is finalized, distribute it to the appropriate individuals or make it available to clients through a secure online platform.
09
Regularly review and update the intake form as needed to ensure it remains relevant and captures all necessary information.

Who needs client intake form?

01
Client intake forms are needed by various professionals and organizations, such as:
02
- Law firms to gather client information and details about their legal case.
03
- Medical clinics or hospitals to collect patient information, medical history, and consent for treatment.
04
- Counseling or therapy practices to understand clients' mental health concerns and treatment goals.
05
- Social service agencies to assess clients' needs and eligibility for specific programs or assistance.
06
- Financial advisors or wealth management firms to gather financial information and understand clients' investment goals.
07
- Real estate agencies to collect information from potential buyers or renters.
08
- Any business or organization that needs to collect specific information from clients or customers to provide tailored services or meet legal requirements.
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
39 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.

With pdfFiller, it's easy to make changes. Open your client intake form in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.
Yes, you can. With the pdfFiller mobile app for Android, you can edit, sign, and share client intake form on your mobile device from any location; only an internet connection is needed. Get the app and start to streamline your document workflow from anywhere.
Use the pdfFiller mobile app to complete your client intake form on an Android device. The application makes it possible to perform all needed document management manipulations, like adding, editing, and removing text, signing, annotating, and more. All you need is your smartphone and an internet connection.
Client intake form is a document used to gather information about a new client or customer.
Any individual or organization that is providing services to a new client is required to file a client intake form.
To fill out a client intake form, one must provide accurate and detailed information about the new client, including contact information, reason for seeking services, and any relevant background information.
The purpose of a client intake form is to collect necessary information about a new client in order to understand their needs and provide appropriate services.
Information such as client's name, contact information, reason for seeking services, relevant background information, and any other details deemed necessary.
Fill out your 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.