Bipolar Disorder Intake Form

Streamline Bipolar Disorder Assessments with a Comprehensive Digital Intake Form

Managing bipolar disorder requires a thorough understanding of each patient's unique history, symptoms, and treatment responses. For mental health professionals, psychiatrists, and behavioral health clinics, gathering comprehensive intake information is essential for accurate diagnosis and effective treatment planning. A well-designed bipolar disorder intake form helps you collect detailed mood episode history, medication trials, family psychiatric background, and current symptomatry—all before the first appointment.

Why Mental Health Professionals Choose Paperform for Bipolar Disorder Intakes

Traditional paper intake forms or static PDFs create friction in the patient journey and add administrative burden to your practice. Paperform transforms this critical first step into a professional, compassionate experience that patients can complete on any device, with responses flowing directly into your practice management system.

Built for mental health workflows: Our bipolar disorder intake template is specifically designed for psychiatric and counseling practices that need to gather sensitive clinical information efficiently. The form uses conditional logic to adapt questions based on patient responses—if someone indicates they've experienced manic episodes, they'll see detailed follow-up questions about duration, severity, and impact. This intelligent branching creates a more conversational experience while ensuring you capture all the clinical detail you need.

HIPAA-friendly and secure: While Paperform is not HIPAA compliant, it offers robust security features including SSL encryption, SOC 2 Type II compliance, and data residency controls. For practices requiring HIPAA compliance, we recommend consulting with your compliance team about appropriate use cases or considering our enterprise security options.

Comprehensive Mood Episode Documentation

The template captures detailed information about both manic and depressive episodes, including onset dates, duration, severity ratings, hospitalizations, and functional impairment. Patients can document trigger patterns, seasonal variations, and the impact on work, relationships, and daily activities—giving you a complete clinical picture before your initial consultation.

Medication history that matters: Track previous medication trials with fields for medication names, dosages, duration of treatment, effectiveness ratings, side effects experienced, and reasons for discontinuation. This comprehensive medication history helps you avoid repeating unsuccessful trials and identify patterns in treatment response.

Family Psychiatric History and Risk Factors

Understanding genetic and environmental risk factors is crucial for bipolar disorder assessment. The form includes structured questions about family psychiatric history, including specific diagnoses in first and second-degree relatives, substance use disorders, and completed suicides—providing valuable context for diagnosis and treatment planning.

Seamless Integration with Your Clinical Workflow

Connect your Paperform intake directly to your practice management software, EHR system, or clinical documentation tools. Send completed intakes to Google Sheets, Airtable, or your CRM, trigger welcome emails with appointment preparation instructions, or use Stepper (stepper.io) to automate your entire intake workflow—from form submission to chart creation to appointment confirmation.

Automate with Stepper: When a patient completes their bipolar disorder intake, Stepper can automatically create their chart in your EHR, send a welcome email with resources about bipolar disorder, notify your scheduling team to book the initial assessment, and trigger a reminder workflow 24 hours before their appointment. This no-code automation keeps your team focused on patient care rather than administrative tasks.

Professional, Compassionate Patient Experience

First impressions matter in mental health care. Paperform's document-style editor lets you create an intake form that feels warm, professional, and aligned with your practice brand. Add your logo, choose calming colors, include welcome messages that set expectations, and create custom success pages with next steps and crisis resources.

Mobile-friendly for today's patients: Over 60% of patients will complete your intake form on their phone. Paperform's mobile-optimized design ensures a smooth experience on any device, with autosave functionality so patients can complete the form in multiple sessions if needed.

Designed for Psychiatrists, Therapists, and Behavioral Health Clinics

Whether you're a solo psychiatrist, group therapy practice, community mental health center, or integrated behavioral health clinic, this template adapts to your specific needs. Modify questions to match your assessment protocols, add practice-specific screening tools, include consent language that meets your state requirements, and customize the workflow to integrate with your existing systems.

Trusted by mental health professionals: Paperform serves over 500,000 teams worldwide with enterprise-grade security (SOC 2 Type II certified), reliable uptime, and dedicated support. Our platform scales with your practice—from individual providers to multi-location behavioral health organizations.

Get Started in Minutes

Use this bipolar disorder intake template as your starting point, customize it to match your clinical protocols and branding, embed it on your practice website or send it via email, and start receiving structured, comprehensive intake information that improves your diagnostic accuracy and treatment planning. With Paperform, you'll reduce no-shows, decrease administrative time, and create a more professional patient experience from the very first interaction.

Ready to modernize your mental health intake process? Start with our bipolar disorder intake template and discover why mental health professionals choose Paperform for forms that work as hard as they do.