---
title: Accelerated Resolution Therapy Clinic Visitor Intake Form Template | Paperform
description: Professional ART clinic intake form for trauma therapists. Includes rapid trauma processing explanation, eye movement protocol details, voluntary image replacement, and session expectations.
url: "https://paperform.co/templates/accelerated-resolution-therapy-clinic-visitor-intake-form"
type: static
generatedAt: "2026-03-28T00:42:57.359Z"
---

[← Back to free form templates](/templates/)    ![Accelerated Resolution Therapy Clinic Visitor Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/accelerated-resolution-therapy-clinic-visitor-intake-form.png)
    [Preview](https://_preview.paperform.co/ai-template/accelerated-resolution-therapy-clinic-visitor-intake-form) [Use this template for free](/create?ai-template=accelerated-resolution-therapy-clinic-visitor-intake-form)    [Healthcare & Medical Forms](/templates/category/healthcare/)[Facilities & Workspace](/templates/category/facilities-workspace/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/) [Therapist](/templates/role/therapist/)[Counselor](/templates/role/counselor/)[Psychologist](/templates/role/psychologist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Your ART Clinic Intake with Paperform

Accelerated Resolution Therapy (ART) is a groundbreaking evidence-based therapy that helps clients process trauma and distressing memories in as few as 1-5 sessions. If you're running an ART clinic, mental health practice, or trauma therapy center, having a professional, informative intake form is essential for setting client expectations and gathering the information you need before the first session.

This **Accelerated Resolution Therapy Clinic Visitor Intake Form** template is designed specifically for ART practitioners, therapists, and mental health clinics offering rapid trauma processing. It walks new clients through what to expect from the therapy while collecting essential contact information, medical history, presenting concerns, and consent for treatment.

#### What Makes This ART Intake Form Different?

Unlike generic therapy intake forms, this template is tailored to the unique aspects of Accelerated Resolution Therapy. It includes:

 - **Clear explanation of the ART protocol** including how eye movement techniques work to process traumatic memories
 - **Information about voluntary image replacement** and how clients can change distressing images without having to talk about them in detail
 - **Realistic session number expectations** so clients understand the condensed timeline of ART treatment
 - **Trauma-informed language** that respects client autonomy and reduces anxiety about the intake process
 - **Medical screening questions** to ensure ART is appropriate for the client's current state

#### Perfect for Mental Health Professionals and Trauma Therapists

This form template is ideal for:

 - **ART-certified therapists** working in private practice
 - **Mental health clinics** offering trauma-focused treatments
 - **PTSD treatment centers** using evidence-based rapid resolution techniques
 - **Counseling practices** specializing in anxiety, depression, and trauma
 - **Veterans' services** and first responder support programs
 - **Telehealth mental health providers** conducting virtual ART sessions

The form uses conditional logic to adapt to each client's needs, asking follow-up questions only when relevant, which creates a more personalized and less overwhelming intake experience.

#### Automate Your ART Practice with Paperform + Stepper

Once a client submits this intake form, you can use **Stepper** (stepper.io) to automatically:

 - Add the new client to your practice management system or CRM
 - Send a welcome email with preparation instructions for their first ART session
 - Create a client file in your secure document storage
 - Schedule an initial consultation or assessment call
 - Notify your administrative team of the new intake
 - Generate intake summary reports for the treating therapist

This automation means less administrative work and more time focusing on what you do best—helping clients heal from trauma.

#### HIPAA Compliance and Security Considerations

While Paperform offers SOC 2 Type II compliance and robust security features including SSL encryption, data residency controls, and secure submission storage, it's important to note that **Paperform is not a HIPAA-compliant solution**. Mental health practitioners subject to HIPAA regulations should evaluate their compliance requirements and consider using this form for initial contact and general information gathering, then transitioning to HIPAA-compliant systems for protected health information.

For practices not subject to HIPAA (such as many private practices outside the US, or for non-clinical intake information), Paperform provides enterprise-grade security that protects client data through every step of the intake process.

#### Customizable for Your Practice's Unique Approach

Every ART therapist has their own style and additional specializations. This template is fully customizable, allowing you to:

 - Add your practice's branding, colors, and logo
 - Include information about your specific training and certifications
 - Modify questions to align with your intake process
 - Add fields for insurance information if you accept it
 - Include your cancellation policy and fee structure
 - Link to additional resources or pre-session preparation materials

The doc-style editor makes it easy to adjust the language, add explanatory paragraphs, or embed videos explaining the ART process—all without any coding knowledge.

#### Why Mental Health Professionals Choose Paperform

Mental health practitioners, therapists, and counselors choose Paperform because it offers:

 - **Professional, calming design** that sets the right tone for therapeutic work
 - **Mobile-friendly forms** so clients can complete intake on any device
 - **Conditional logic** to show only relevant questions and reduce form fatigue
 - **Secure data collection** with SOC 2 Type II compliance
 - **Easy integration** with scheduling tools, CRMs, and practice management software
 - **Custom confirmation pages** where you can provide next steps and resources
 - **No-code customization** that puts practice owners in control

Whether you're a solo practitioner just starting your ART practice or part of a larger mental health clinic offering multiple trauma treatment modalities, this intake form template gives you a professional, conversion-optimized starting point that respects your clients' needs and your practice's efficiency.

#### Get Started in Minutes

With over 30,000 templates and trusted by mental health professionals worldwide, Paperform makes it easy to launch professional intake forms that work as hard as you do. Simply customize this template with your practice information, adjust the questions to fit your workflow, and start accepting new ART clients today—all without writing a single line of code.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Brainspotting Therapy Office Visitor Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/brainspotting-therapy-office-visitor-registration-form.png)

### Brainspotting Therapy Office Visitor Registration Form

A specialized visitor registration form for brainspotting therapy practices to manage client check-ins, session preparation, and trauma-informed intake with dual attunement framework.](/templates/brainspotting-therapy-office-visitor-registration-form/)
[![DBT Group Therapy Visitor Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dbt-group-therapy-visitor-registration-form.png)

### DBT Group Therapy Visitor Registration Form

A comprehensive visitor registration form for dialectical behavior therapy groups, including DBT skills overview, confidentiality agreements, participation consent, and crisis resources for prospective members and observers.](/templates/dbt-group-therapy-visitor-registration-form/)
[![Blast Injury and TBI Therapy Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/blast-injury-and-tbi-therapy-intake-form.png)

### Blast Injury and TBI Therapy Intake Form

A comprehensive intake form for mental health professionals treating blast injury and traumatic brain injury (TBI) patients, capturing injury mechanisms, cognitive symptoms, personality changes, and rehabilitation history.](/templates/blast-injury-and-tbi-therapy-intake-form/)
[![EMDR Therapy Office Visitor Companion Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/emdr-therapy-office-visitor-companion-form.png)

### EMDR Therapy Office Visitor Companion Form

A visitor registration form for companions accompanying clients to EMDR therapy sessions, explaining bilateral stimulation, trauma processing, session privacy protocols, and stabilization phase importance.](/templates/emdr-therapy-office-visitor-companion-form/)
[![Internal Family Systems Therapy Intensive Visitor Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/internal-family-systems-therapy-intensive-visitor-registration-form.png)

### Internal Family Systems Therapy Intensive Visitor Registration Form

Comprehensive visitor registration form designed for IFS therapy intensives, capturing parts multiplicity, self-energy access, protective system dynamics, and therapeutic goals for multi-day immersive sessions.](/templates/internal-family-systems-therapy-intensive-visitor-registration-form/)
[![Neurofeedback Clinic First Session Visitor Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/neurofeedback-clinic-first-session-visitor-form.png)

### Neurofeedback Clinic First Session Visitor Form

A comprehensive first-time visitor form for neurofeedback clinics to collect client information, explain brain training protocols, schedule qEEG assessments, and set session expectations.](/templates/neurofeedback-clinic-first-session-visitor-form/)
[![Polyvagal-Informed Therapy Office Visitor Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/polyvagal-informed-therapy-office-visitor-registration-form.png)

### Polyvagal-Informed Therapy Office Visitor Registration Form

A trauma-informed visitor registration form for therapy practices that prioritizes nervous system safety, co-regulation principles, and the polyvagal theory framework.](/templates/polyvagal-informed-therapy-office-visitor-registration-form/)
[![Psychiatric Hospital Group Therapy Room Scheduling Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/psychiatric-hospital-group-therapy-room-scheduling-form.png)

### Psychiatric Hospital Group Therapy Room Scheduling Form

A comprehensive scheduling form for psychiatric hospitals to book group therapy rooms, verify therapist credentials, manage patient categories, and ensure proper consent and crisis protocols are in place.](/templates/psychiatric-hospital-group-therapy-room-scheduling-form/)
[![Accelerated Resolution Therapy (ART) Session Booking Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/accelerated-resolution-therapy-art-session-booking-form.png)

### Accelerated Resolution Therapy (ART) Session Booking Form

Book your Accelerated Resolution Therapy session for rapid trauma processing and PTSD symptom reduction. Complete treatment typically takes 1-5 sessions using evidence-based techniques.](/templates/accelerated-resolution-therapy-art-session-booking-form/)
[![Addiction Recovery Monitoring & Sobriety Tracker](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/addiction-recovery-monitoring-sobriety-tracker.png)

### Addiction Recovery Monitoring & Sobriety Tracker

Track sobriety milestones, identify relapse triggers, and monitor support group attendance for addiction recovery programs. A comprehensive check-in form for patients and counselors.](/templates/addiction-recovery-monitoring-sobriety-tracker/)
[![Bipolar Disorder Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/bipolar-disorder-intake-form.png)

### Bipolar Disorder Intake Form

Comprehensive intake form for bipolar disorder assessment, capturing mood episode history, medication trials, family psychiatric history, and current symptoms to support effective treatment planning.](/templates/bipolar-disorder-intake-form/)
[![Cognitive Processing Therapy (CPT) Initial Consultation & Program Enrollment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cognitive-processing-therapy-cpt-initial-consultation-program-enrollment.png)

### Cognitive Processing Therapy (CPT) Initial Consultation & Program Enrollment

A comprehensive intake form for PTSD treatment using Cognitive Processing Therapy, including stuck point identification, Socratic questioning introduction, and 12-session protocol commitment.](/templates/cognitive-processing-therapy-cpt-initial-consultation-program-enrollment/)