Dialectical Behavior Therapy (DBT) Intake Form

Start DBT Therapy with a Structured, Client-Centered Intake

Dialectical Behavior Therapy (DBT) is one of the most evidence-based treatments for emotional dysregulation, borderline personality disorder, self-harm behaviors, and complex trauma. But before therapy begins, you need a clear picture of your client's current functioning, coping skills, and crisis vulnerabilities.

This DBT Intake Form is designed specifically for mental health professionals offering dialectical behavior therapy. It walks new clients through a structured assessment covering the four core DBT skill modules—mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness—while gathering critical information about current symptoms, treatment history, and safety planning.

Why Paperform for DBT intake?

Built for therapists who want forms that feel professional, compassionate, and easy to complete, Paperform lets you create intake experiences that match your practice brand. Use conditional logic to reveal follow-up questions based on client responses, ensure sensitive information is collected securely, and sync submissions directly into your practice management software or EHR.

With Paperform's SOC 2 Type II compliance and enterprise-grade security, you can confidently collect PHI (Personal Health Information) in a HIPAA-aware manner when paired with appropriate BAA-covered infrastructure. The form adapts to each client's needs, showing relevant sections and skipping unnecessary questions.

Automate your DBT practice workflow

Once a client submits their intake form, use Stepper to automate what happens next. Trigger a welcome email, create a client folder in your secure file storage, add the client to your scheduling system, and notify your clinical team—all without manual data entry. You can route high-risk cases to supervisors, flag clients who need immediate crisis follow-up, and keep your practice running smoothly as you scale.

Whether you're a solo DBT practitioner, running a group practice, or managing an intensive outpatient program, this template gives you a strong foundation to assess, onboard, and support clients from day one. Customize questions, adjust logic, and make the form feel like an extension of your therapeutic approach—all without writing a line of code.

Trusted by mental health professionals worldwide, Paperform combines thoughtful design, powerful automation, and the security your practice needs to deliver care with confidence.