Child and Adolescent Therapy Intake Form
About this free form template

Professional Child and Adolescent Therapy Intake for Mental Health Providers

Starting therapy for your child or teen is a meaningful step toward supporting their wellbeing. This child and adolescent therapy intake form helps mental health professionals gather essential background information about your young person's developmental history, current challenges, and family context—all in one comprehensive, compassionate questionnaire.

Why mental health professionals choose Paperform for therapy intake

Paperform makes it simple to collect detailed client information before the first session, so therapists, counselors, and psychologists can spend more time connecting with families and less time chasing paperwork. Unlike rigid survey tools or clunky PDF forms, Paperform's doc-style editor lets you create intake forms that feel warm and approachable—matching the tone and branding of your practice.

This template is designed for therapists, child psychologists, school counselors, and mental health clinics working with children and adolescents. It covers developmental milestones, behavioral observations, school performance, family history, and current concerns in a structured, easy-to-complete format that parents and guardians can fill out at their own pace.

What makes this child therapy intake form effective

  • Comprehensive developmental history: Capture prenatal, birth, and early childhood milestones to understand foundational development
  • School and social functioning: Gather insights into academic performance, peer relationships, and classroom behavior
  • Behavioral and emotional concerns: Identify specific challenges, triggers, and patterns observed at home and school
  • Family dynamics and history: Understand the family structure, mental health history, and support systems
  • Conditional logic: Show follow-up questions only when relevant, keeping the form streamlined for each family's unique situation
  • Secure and confidential: All submissions are encrypted and can be stored in compliance with your practice's privacy policies

Streamline your therapy practice with Paperform + automation

Once a family submits the intake form, you can use Stepper to automatically create a client file in your practice management system, send a welcome email with pre-session resources, schedule the first appointment, and notify your team—all without manual data entry.

You can also integrate with tools like Google Drive, Airtable, or your EHR to keep client records organized and accessible. And if you need signed consent forms or treatment agreements, Papersign lets you send documents for eSignature directly from the intake submission, keeping everything connected and compliant.

A thoughtful experience for families, a complete record for clinicians

Parents and guardians appreciate a form that's clear, compassionate, and respectful of their time. Clinicians value the depth and structure that supports accurate assessment and treatment planning. This template balances both, helping you build trust from the first touchpoint and arrive at the first session ready to listen, understand, and support the young person in your care.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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