Chosen Family Therapy Intake Form

Support Your Clients Through Chosen Family Journeys

When traditional family structures don't provide the support and acceptance people need, chosen families become essential sources of love, belonging, and resilience. This Chosen Family Therapy Intake Form helps mental health professionals gather sensitive information about clients navigating the complex emotional landscape of biological family rejection, found family bonds, grief, and intentional relationship building.

Why This Template Works for Mental Health Professionals

This intake form is specifically designed for therapists, counselors, and mental health practitioners working with LGBTQ+ individuals, people experiencing family estrangement, and anyone building meaningful chosen family connections. It addresses the unique therapeutic needs of clients who are:

• Processing grief and loss related to biological family rejection
• Building and maintaining chosen family relationships
• Navigating identity acceptance and belonging
• Healing from family-of-origin trauma
• Creating new support networks and kinship bonds

Streamline Your Practice with Paperform

Built on Paperform's compassionate form platform, this template goes beyond basic data collection. The conditional logic adapts based on client responses, ensuring you gather relevant information without overwhelming clients during an already vulnerable process. The form's warm, welcoming design helps create a safe space from the very first interaction.

Automate your therapy practice workflows by connecting this form to your practice management software, scheduling tools, or CRM. Send automatic confirmation emails, trigger follow-up sequences, or use Stepper to route urgent cases to appropriate team members while maintaining strict confidentiality.

Need clients to sign consent forms or HIPAA authorizations? Integrate Papersign to send secure eSignature requests immediately after intake submission, keeping all documentation linked and audit-ready.

Designed for Sensitive, Person-Centered Care

This template uses affirming, trauma-informed language throughout and includes optional fields that allow clients to share what feels safe while protecting their privacy. Customize the questions, add your practice branding, and adjust conditional paths to match your specific therapeutic approach—all without touching a line of code.

Whether you're a solo practitioner or part of a group practice, this form helps you start the therapeutic relationship with empathy, clarity, and respect for each client's unique family story.