--- title: Couples Therapy Intake Form Template - Free Online Form | Paperform description: Professional couples therapy intake form template for therapists and counselors. Assess relationships, communication patterns, and mental health with this comprehensive, customizable intake form. url: "https://paperform.co/templates/couples-therapy-intake-form" type: static generatedAt: "2026-04-03T00:48:31.093Z" --- [← Back to free form templates](/templates/) ![Couples Therapy Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/couples-therapy-intake-form.png) [Preview](https://_preview.paperform.co/ai-template/couples-therapy-intake-form) [Use this template for free](/create?ai-template=couples-therapy-intake-form) [Intake Forms](/templates/category/intake-forms/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/) [Therapist](/templates/role/therapist/)[Counselor](/templates/role/counselor/)[Psychologist](/templates/role/psychologist/)[Social Worker](/templates/role/social-worker/) About this free form template ### 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](https://stepper.io). You can even collect payment for initial consultation fees using Stripe or PayPal, and send consent forms for eSignature through [Papersign](https://papersign.com)—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. Built for growing businesses, trusted by bigger ones. Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. ![Capterra - 4.8 out of 5](/images/capterra-st.jpg) ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg) ![G2 - 4.8 out of 5](/images/g2-st.jpg) [Try Paperform free now](/register) ## More templates like this [![Acceptance and Commitment Therapy (ACT) Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/acceptance-and-commitment-therapy-act-intake-form.png) ### Acceptance and Commitment Therapy (ACT) Intake Form Comprehensive ACT therapy intake form with psychological flexibility assessment, values clarification exercises, and committed action planning to help therapists understand client needs and therapeutic goals.](/templates/acceptance-and-commitment-therapy-act-intake-form/) [![Borderline Personality Disorder Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/borderline-personality-disorder-assessment-form.png) ### Borderline Personality Disorder Assessment Form A comprehensive clinical assessment tool for screening borderline personality disorder symptoms, including emotion dysregulation, relationship patterns, and behavioral indicators.](/templates/borderline-personality-disorder-assessment-form/) [![Child & Adolescent Mental Health Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/child-adolescent-mental-health-intake-form.png) ### Child & Adolescent Mental Health Intake Form A comprehensive mental health intake form for children and adolescents, collecting developmental history, school performance, family dynamics, and behavioral concerns to support effective treatment planning.](/templates/child-adolescent-mental-health-intake-form/) [![Cognitive Behavioral Therapy Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cognitive-behavioral-therapy-intake-form.png) ### Cognitive Behavioral Therapy Intake Form A comprehensive CBT intake form with depression screening, anxiety assessment, and therapy goals to help mental health professionals understand new clients and establish treatment plans.](/templates/cognitive-behavioral-therapy-intake-form/) [![Degenerative Disease Counseling Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/degenerative-disease-counseling-intake-form.png) ### Degenerative Disease Counseling Intake Form A compassionate intake form for counselors supporting clients facing degenerative diseases, covering progressive symptoms, advance care planning, caregiver concerns, and emotional well-being.](/templates/degenerative-disease-counseling-intake-form/) [![Dialectical Behavior Therapy (DBT) Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dialectical-behavior-therapy-dbt-intake-form.png) ### Dialectical Behavior Therapy (DBT) Intake Form A comprehensive DBT intake assessment form for therapists to evaluate emotional regulation, distress tolerance skills, interpersonal effectiveness, and crisis planning for new clients beginning dialectical behavior therapy.](/templates/dialectical-behavior-therapy-dbt-intake-form/) [![Elder Abuse Counseling Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/elder-abuse-counseling-intake-form.png) ### Elder Abuse Counseling Intake Form A comprehensive intake form for mental health professionals providing counseling services to older adults who have experienced abuse, capturing critical information about the abuse, safety concerns, and reporting considerations.](/templates/elder-abuse-counseling-intake-form/) [![Emotionally Focused Therapy (EFT) Couples Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/emotionally-focused-therapy-eft-couples-intake-form.png) ### Emotionally Focused Therapy (EFT) Couples Intake Form Comprehensive EFT intake form for couples therapy that assesses attachment patterns, identifies negative interaction cycles, and explores bonding moments to inform therapeutic intervention.](/templates/emotionally-focused-therapy-eft-couples-intake-form/) [![Grief Counseling Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/grief-counseling-intake-form.png) ### Grief Counseling Intake Form A compassionate intake form for grief counseling that gathers essential information about your loss, current coping strategies, and support network to help provide personalized bereavement support.](/templates/grief-counseling-intake-form/) [![Miscarriage and Pregnancy Loss Therapy Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/miscarriage-and-pregnancy-loss-therapy-intake-form.png) ### Miscarriage and Pregnancy Loss Therapy Intake Form A compassionate intake form for mental health professionals supporting clients through miscarriage and pregnancy loss, covering loss history, grief symptoms, support systems, and concerns about future pregnancy.](/templates/miscarriage-and-pregnancy-loss-therapy-intake-form/) [![Palliative Care Mental Health Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/palliative-care-mental-health-intake-form.png) ### Palliative Care Mental Health Intake Form A compassionate intake form for mental health professionals supporting palliative care patients, covering illness severity, symptom management, existential concerns, and legacy planning.](/templates/palliative-care-mental-health-intake-form/) [![Psychosis Early Intervention Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/psychosis-early-intervention-assessment-form.png) ### Psychosis Early Intervention Assessment Form A comprehensive first-episode psychosis screening and coordinated specialty care enrollment form for mental health services, including clinical assessment, family education needs, and treatment planning.](/templates/psychosis-early-intervention-assessment-form/)