Professional ACT Therapy Consent & Intake Form

Acceptance and Commitment Therapy (ACT) is a powerful, evidence-based therapeutic approach that helps clients develop psychological flexibility through mindfulness, acceptance, and values-based action. If you're a therapist, counselor, or mental health professional offering ACT services, this comprehensive consent form template streamlines your intake process while ensuring full treatment authorization and client understanding.

What's included in this template

This form combines essential consent documentation with ACT-specific intake elements. You'll gather informed consent for treatment, establish therapeutic agreements, and guide clients through preliminary values clarification exercises. The template includes sections for mindfulness practice preferences, committed action planning, and treatment expectations—all designed to set the foundation for effective ACT work.

Built for mental health professionals

Whether you're a licensed therapist in private practice, part of a counseling center, or working in healthcare settings, this template helps you maintain professional standards while creating a client-centered intake experience. The form addresses confidentiality, limits of treatment, emergency protocols, and financial agreements alongside ACT-specific therapeutic elements.

Automate your therapy practice with Paperform and Stepper

Using Paperform means your ACT consent forms can match your practice's branding and feel welcoming rather than clinical. Once a client submits, you can use Stepper to automatically create client records in your practice management system, send welcome packets, schedule initial sessions, and trigger reminder workflows—keeping you focused on therapeutic work rather than administrative tasks.

Secure, compliant, and client-friendly

Paperform is SOC 2 Type II certified and GDPR compliant, with robust security measures to protect sensitive client information. However, please note that Paperform is not HIPAA compliant, so practices requiring HIPAA compliance should evaluate their specific needs. For many private practices and counseling services, Paperform's security standards provide excellent protection for intake and consent documentation.

This template is ideal for therapists specializing in ACT, mental health counselors, clinical psychologists, and behavioral health professionals looking for a professional, comprehensive intake solution that honors both regulatory requirements and the therapeutic relationship.