Couples Therapy Intake Form

Streamline Your Couples Therapy Practice with Paperform

Finding the right intake process for couples therapy can be challenging. You need to understand both partners individually while assessing the relationship as a whole—all before the first session begins. This Couples Therapy Intake Form template gives mental health professionals, marriage and family therapists, and counseling practices a complete, professional solution for gathering essential information from new couples.

Built for Mental Health Professionals Who Value Efficiency

Whether you're a solo practitioner, part of a group practice, or managing a community mental health center, this template helps you collect detailed relationship histories, communication patterns, mental health backgrounds, and therapeutic goals in one organized submission. The form guides couples through questions about their relationship timeline, presenting concerns, conflict resolution styles, and individual wellbeing—giving you a clear picture before your first session.

Paperform's conditional logic ensures that sensitive questions appear only when relevant, creating a respectful and personalized experience for each couple. The doc-style editor means you can easily customize sections to match your therapeutic approach, whether you focus on Gottman Method, Emotionally Focused Therapy, or another modality.

Integrate with Your Practice Management Tools

Connect this intake form directly to your existing workflow. Send submissions to your practice management software, store responses securely in encrypted cloud storage, or trigger automated appointment confirmations through Stepper. You can even collect payment for initial consultation fees using Stripe or PayPal, and send consent forms for eSignature through Papersign—keeping your entire intake process in one seamless flow.

HIPAA-Adjacent Security Built In

While Paperform is not HIPAA compliant, it offers SOC 2 Type II compliance, encrypted data transmission, and secure storage options that many mental health professionals use for initial intake before transferring to HIPAA-compliant systems. You maintain full control over data handling and can easily export submissions to your secure practice management platform.

Designed for Compassionate Care

The tone and structure of this template reflects the sensitivity required in mental health work. Questions are carefully worded to create a safe, non-judgmental space for couples to share their concerns. The form can be completed together or separately, accommodating different comfort levels and providing flexibility for your intake process.

Trusted by therapists, counselors, and mental health practices worldwide, this template helps you start therapeutic relationships with clarity, professionalism, and genuine understanding of each couple's unique journey.