Counseling Intake Form

Counseling Intake Form Template

Send your counseling patients this intake form before the first appointment to collect all the necessary information. To duplicate this template and import it into your Paperform account, simply click the button "Use this template" below.

This counseling intake form is quite comprehensive, and thus we broke it down into two pages (hint: when editing your form, use page breaks to create more form-pages). The first page collects all the basic personal information of the patient, as well as the contact details of the next of kin. The second page asks a number of questions related to the patient's emotional health, allowing them to choose among the multiple-choice options. Please note that the responders can also select the "Other" field if they can't find a suitable answer.

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Key Features

This template is designed to help you collect information efficiently and professionally. It includes carefully crafted questions and fields that gather all the essential details you need.

Why Use This Template

• Save time: Start with a pre-built structure instead of creating from scratch
• Professional design: Looks polished and trustworthy to respondents
• Easy customization: Modify fields, colors, and branding to match your needs
• Mobile-friendly: Works seamlessly on all devices

How to Use This Template

1. Click "Use this template" to import it into your Paperform account
2. Customize the questions and fields to match your specific requirements
3. Adjust the design and branding to reflect your organization
4. Share the form link or embed it on your website
5. Start collecting responses and managing submissions

Customization Options

Paperform's visual editor makes it easy to:

• Add or remove questions
• Change colors, fonts, and images
• Set up conditional logic to show/hide fields
• Configure email notifications and integrations
• Accept payments if needed

Get started today and create a professional form in minutes.