---
title: Child Welfare Prevention Services Intake Form Template | Paperform
description: Complete intake form for child welfare prevention services with family strengths assessment, risk factors, voluntary services agreement, safety planning, and progress monitoring consent.
url: "https://paperform.co/templates/child-welfare-prevention-services-intake-form"
type: static
generatedAt: "2026-03-28T00:43:17.799Z"
---

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### Streamline Child Welfare Prevention Services with Paperform

Child welfare prevention services play a critical role in supporting families before issues escalate to crisis situations. This **Child Welfare Prevention Services Intake Form** provides social workers, family support specialists, and child welfare agencies with a comprehensive tool to assess family needs, document strengths, identify risk factors, and establish voluntary service agreements—all within one professional, easy-to-navigate form.

#### Designed for Social Services Professionals

Whether you work for a county department of human services, a nonprofit family support organization, or a community-based prevention program, this template helps you conduct thorough intake assessments while maintaining a strengths-based, family-centered approach. The form collects essential information about household composition, current challenges, protective factors, and service needs, enabling your team to develop individualized support plans that keep families together and children safe.

The template includes sections for family demographics, household information, primary concerns, comprehensive strengths and risk assessment, voluntary services agreement, customized safety planning, and consent for progress monitoring. This holistic approach aligns with best practices in prevention-focused child welfare and supports evidence-based decision making.

#### Why Paperform for Child Welfare Prevention Services?

**Professional, accessible design:** Create forms that feel welcoming rather than intimidating. Paperform's document-style editor lets you present sensitive questions in a clear, compassionate way that encourages honest communication and builds trust with families.

**Conditional logic for relevant questions:** Use smart branching to show follow-up questions only when needed—such as displaying additional safety planning questions when specific risk factors are identified, or showing relevant service options based on the family's primary concerns.

**Secure data collection:** With SOC 2 Type II compliance and robust security features, Paperform ensures that sensitive family information is protected throughout the intake process. While not HIPAA compliant, Paperform provides enterprise-grade security suitable for social services data.

**Streamlined workflows with Stepper:** Connect your intake form to [Stepper](https://stepper.io) to automatically create case files, assign caseworkers, schedule follow-up appointments, trigger background checks, send welcome packets, and update your case management system—all without manual data entry. This automation gives social workers more time to focus on direct family support rather than administrative tasks.

**Team collaboration features:** Allow multiple staff members to access and manage intake submissions, assign cases, add internal notes, and track family progress through your prevention services program.

**Electronic signatures with Papersign:** Once the intake assessment is complete, seamlessly transition to [Papersign](https://papersign.com) to collect signatures on voluntary services agreements, consent forms, safety plans, and release of information documents—keeping all paperwork organized and legally compliant.

#### Perfect for Prevention-Focused Agencies

This template is ideal for:

 - **County and state child welfare agencies** implementing prevention services programs
 - **Nonprofit family support organizations** offering early intervention services
 - **Community action agencies** providing family strengthening programs
 - **Home visiting programs** conducting initial family assessments
 - **Family resource centers** coordinating support services
 - **Child abuse prevention programs** engaging with at-risk families
 - **Faith-based family services** offering voluntary support

#### How Social Services Teams Use This Form

Child welfare professionals use this intake form to:

 1. **Conduct comprehensive assessments** that identify both family strengths and areas where support is needed
 1. **Document voluntary participation** in prevention services with clear agreements
 1. **Develop individualized safety plans** in partnership with families
 1. **Establish baseline information** for measuring family progress over time
 1. **Coordinate referrals** to appropriate community resources and support services
 1. **Maintain compliant records** of initial engagement and consent

#### Customize for Your Agency's Needs

While this template provides a solid foundation for prevention services intake, you can easily adapt it to your agency's specific requirements, state regulations, assessment tools, or program models. Add your agency branding, modify assessment questions to match your screening instruments, include program-specific consent language, or add fields for tracking funding sources and eligibility requirements.

#### Key Features Include

 - **Family and household composition** details with relationship mapping
 - **Strengths-based assessment** focusing on protective factors and resilience
 - **Risk factor identification** covering multiple life domains
 - **Primary concern prioritization** to guide service planning
 - **Voluntary services agreement** with clear participation expectations
 - **Collaborative safety planning** with family input
 - **Progress monitoring consent** for ongoing evaluation
 - **Cultural considerations** to ensure responsive services
 - **Emergency contact collection** for crisis situations
 - **Referral tracking** for coordinated community support

#### Integrate with Your Existing Systems

Paperform connects seamlessly with the tools your agency already uses. Send intake data to your case management system, notify supervisors via Slack or email when high-risk referrals come in, add families to your CRM, log information in Google Sheets or Airtable, and trigger multi-step workflows through Stepper or Zapier. This integration capability reduces duplicate data entry and ensures information flows smoothly across your organization.

#### Build Trust Through Better Forms

Prevention services work best when families feel supported rather than judged. By using Paperform's intuitive, conversational form design, you create an intake experience that feels collaborative and respectful. Families can complete forms at their own pace, on any device, with clear explanations of how their information will be used to connect them with helpful resources.

#### Get Started Today

Join the 500,000+ teams worldwide that trust Paperform for their essential workflows. Whether you're a small community organization or a large county agency, Paperform scales to meet your needs with predictable pricing, generous submission limits, and the robust features required for professional social services delivery.

Start with this Child Welfare Prevention Services Intake template and customize it to reflect your agency's values, assessment approach, and program requirements. With Paperform, you'll spend less time on paperwork and more time doing what matters most—supporting families and keeping children safe.
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