Gender Dysphoria Therapy Intake Form

Gender-Affirming Therapy Made Simple with Paperform

Finding the right therapist for gender dysphoria can be challenging—and so can gathering the nuanced information needed to provide affirming, personalized care. This Gender Dysphoria Therapy Intake Form template is designed specifically for mental health professionals, counseling practices, and LGBTQ+ support organizations who want to create a safe, thorough intake experience for clients exploring their gender identity.

Built with Paperform's intuitive doc-style editor, this template helps you collect detailed information about a client's gender identity timeline, social and medical transition goals, current support systems, and mental health history—all in one compassionate, easy-to-complete form. The layout is thoughtfully structured to feel more like a conversation than an interrogation, helping clients share their story in their own words while giving you the clinical detail you need for effective treatment planning.

Why this template works for gender-affirming care

Therapy intake forms need to balance clinical thoroughness with emotional sensitivity—especially when supporting clients through gender exploration and transition. This template includes fields for preferred name and pronouns, questions about gender identity development and milestones, and sections exploring both social transition goals (name changes, coming out plans, clothing and presentation) and medical transition interests (hormone therapy, surgeries, voice training). Conditional logic ensures clients only see questions relevant to their unique journey, creating a personalized experience that respects where they are in the process.

The form also captures critical information about support systems, family acceptance, safety concerns, and co-occurring mental health needs like anxiety or depression—helping you assess both strengths and vulnerabilities from day one. With Paperform's professional design options and customizable themes, you can brand the form to match your practice while maintaining the warmth and inclusivity that gender-diverse clients deserve.

Automate your intake workflow with Stepper

Once a client submits their intake form, Stepper can help you automate what comes next. Route submissions to the right therapist based on specialization or availability, send a welcome email with intake appointment details, add the client to your practice management software or EHR, and trigger reminders for pre-session paperwork or consent forms. You can even use Papersign to send treatment agreements, HIPAA consent forms, or informed consent documents for gender-affirming care directly from the intake submission, keeping everything organized and compliant.

Whether you're a solo therapist, part of a group practice, or working within an LGBTQ+ health center, this template gives you a strong foundation for building trust and providing affirming, evidence-based care from the very first touchpoint.