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Collaborative Care Model Enrollment Form
About this free form template

Streamline Collaborative Care Enrollment with Paperform

Collaborative care models represent the future of integrated healthcare, bringing together primary care providers, psychiatric consultants, and care managers to deliver coordinated treatment for behavioral health conditions. This Collaborative Care Model Enrollment Form template is designed specifically for healthcare organizations implementing integrated care programs, helping you efficiently onboard patients into comprehensive treatment pathways.

Purpose and Benefits

This template helps medical practices, community health centers, and behavioral health programs seamlessly enroll patients into collaborative care services. By capturing essential patient information, treatment history, symptom assessments, and care preferences in one organized workflow, you can ensure every member of the care team has the information they need from day one.

The form includes sections for demographic information, insurance verification, behavioral health screening, medication history, and care coordination preferences—all structured to support the evidence-based collaborative care framework. With Paperform's conditional logic, you can adapt questions based on patient responses, creating a personalized intake experience that feels supportive rather than overwhelming.

How Paperform Enhances Integrated Care Workflows

Paperform makes it easy to collect sensitive health information securely while maintaining a professional, accessible patient experience. The form syncs seamlessly with your existing healthcare systems through integrations with tools like Airtable, Google Sheets, or your CRM, ensuring patient data flows directly into care manager dashboards and clinical workflows.

Use Papersign to collect required consent signatures for psychiatric consultation, information sharing, and treatment agreements—keeping everything connected to the original enrollment form for complete documentation. And with Stepper, you can automate the entire post-enrollment workflow: assign care managers, schedule initial appointments, notify psychiatric consultants, and trigger follow-up communications—all without manual coordination.

Built for Healthcare Teams

Whether you're launching a new collaborative care program or scaling existing integrated services across multiple clinics, this template provides a HIPAA-aware starting point (Note: Paperform is not HIPAA compliant, so ensure you're using appropriate safeguards for PHI). The professional design and clear structure help reduce patient anxiety during intake while giving your clinical team standardized, actionable data from every enrollment.

Trusted by healthcare providers worldwide, Paperform combines ease of use with the security and integration capabilities behavioral health programs need to deliver coordinated, patient-centered care.

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