Form preview

Get the free Couple Intake Form

Get Form
Este formulario ayudará a comprender mejor su situación y las posibles soluciones para ayudarlo a recuperar el rumbo de su vida. Se requiere que ambos miembros de la pareja completen preguntas sobre
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign couple intake form

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

Editing couple intake form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit couple 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
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save 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 couple intake form

Illustration

How to fill out Couple Intake Form

01
Start with your personal information: Include your full names, date of birth, and contact details.
02
Provide relationship details: State the duration of your relationship and any significant milestones.
03
Fill out your current living situation: Describe where you live and if you share any financial responsibilities.
04
Describe your relationship dynamics: Answer questions about communication styles, conflict resolution methods, and areas of satisfaction or concern.
05
Disclose any previous therapy: Indicate if you have had past counseling or therapy experiences as a couple or individually.
06
Identify goals for therapy: Clearly outline what you hope to achieve by filling out this form and attending therapy.
07
Review your responses: Ensure all information is accurate and complete before submission.

Who needs Couple Intake Form?

01
Couples who are seeking therapy or counseling to address relationship issues.
02
Individuals preparing for pre-marital or marital counseling.
03
Partners wanting to improve their relationship dynamics and communication.
04
Couples looking to explore their emotional connection and future together.
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
4.6
Satisfied
58 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.

The Couple Intake Form is a document used to gather information from couples seeking counseling or therapy. It helps therapists understand the dynamics of the relationship and collect relevant personal details.
Couples who are seeking therapy or counseling services are required to fill out the Couple Intake Form prior to their initial session.
To fill out the Couple Intake Form, individuals should provide accurate and honest responses to the questions, which typically include personal details, relationship history, and any specific concerns or goals for therapy.
The purpose of the Couple Intake Form is to help the therapist gather essential information about the couple’s relationship, identify issues that need to be addressed, and establish a foundation for the therapeutic process.
The Couple Intake Form typically requires information such as personal details of each partner, relationship history, reasons for seeking counseling, and any relevant medical or psychological history.
Fill out your couple 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.