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Gottman Method Couples Therapy Intake Form
About this free form template

Streamline Your Gottman Method Couples Therapy Intake Process

If you're a couples therapist, marriage counselor, or relationship coach practicing the Gottman Method, getting comprehensive intake information is essential for effective treatment planning. This Gottman Method Couples Therapy Intake Form helps you gather detailed information about relationship satisfaction, conflict patterns, individual goals, and commitment levels—all before the first session begins.

Why This Template Works for Therapists and Counselors

Built specifically for mental health professionals working with couples, this form template captures the nuanced information you need to understand relationship dynamics. From the Four Horsemen (criticism, contempt, defensiveness, stonewalling) to attachment styles and conflict resolution patterns, you'll gather clinically relevant data that informs your therapeutic approach.

The form includes relationship history, communication patterns, areas of strength and concern, individual mental health considerations, and readiness for change—giving you a complete picture before you meet with the couple. This means your first session can focus on connection and assessment rather than paperwork.

Smart Features for Your Practice

Paperform makes it easy to create an intake experience that feels professional and secure. Use conditional logic to ask follow-up questions based on responses—for example, diving deeper into specific conflict areas or previous therapy experiences. Set up automated email confirmations with next steps, and integrate directly with your practice management software or CRM.

Need to collect payment deposits or session fees? Add Stripe, PayPal, or Square payment fields right in the form. Want couples to schedule their first appointment immediately after completing intake? Use the built-in scheduling field to connect with your calendar.

With Papersign (papersign.com), you can seamlessly send consent forms, treatment agreements, or fee schedules for eSignature after intake submission, keeping everything organized and compliant.

HIPAA Considerations

While Paperform is SOC 2 Type II compliant and offers robust security features, it is not a HIPAA-compliant solution. If you work with protected health information (PHI), please ensure you're using HIPAA-compliant tools and following best practices for patient privacy.

Built for Mental Health Professionals

Whether you're a licensed marriage and family therapist (LMFT), clinical psychologist, licensed professional counselor (LPC), or certified Gottman therapist, this template helps you maintain professional standards while creating a smooth, empathetic intake experience. Customize questions to match your therapeutic style, add your practice branding, and embed the form on your website for seamless client onboarding.

Trusted by therapists and counselors worldwide, this template saves you time, reduces no-shows, and helps you start therapy relationships with comprehensive information and clear expectations.

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