Mental Health Therapy Intake & Consent Form

Mental Health Therapy Intake & Consent Form Template

Starting therapy is an important step, and having clear, professional intake documentation sets the foundation for effective treatment. This Mental Health Therapy Intake & Consent Form template helps therapists, counselors, and mental health practitioners gather essential client information while ensuring informed consent, HIPAA compliance, and mutual understanding of confidentiality boundaries.

Why mental health professionals choose this template

Mental health practitioners need more than basic contact details—they need comprehensive intake forms that establish therapeutic agreements, clarify privacy limits, outline crisis procedures, and document informed consent for treatment modalities including telehealth. This template streamlines your intake process while maintaining the professional standards required in behavioral health settings.

Whether you're a solo practitioner, group practice, or community mental health organization, this form helps you:

• Collect detailed client history including presenting concerns, previous treatment, and current medications
• Establish clear confidentiality agreements with specific limits outlined (harm to self/others, abuse, court orders)
• Document informed consent for therapy services, fees, cancellation policies, and treatment approaches
• Obtain HIPAA authorization and release of information permissions
• Gather emergency contact information and crisis intervention preferences
• Acknowledge telehealth terms when offering virtual therapy sessions

Built for therapy practices of all sizes

This intake form is designed for licensed therapists (LCSW, LMFT, LPC, psychologists), psychiatrists, counseling centers, and behavioral health clinics. The professional yet compassionate tone helps new clients feel welcomed while ensuring all regulatory and clinical documentation requirements are met.

With Paperform's conditional logic, you can customize sections based on therapy modality (individual, couples, family), show telehealth terms only when applicable, and adapt questions for different age groups or specialties. The clean, branded design helps reduce intake anxiety and presents your practice professionally from the first touchpoint.

Streamline your practice with automation

Once a client submits their intake form, Stepper (stepper.io) can automatically trigger your practice workflows: create client records in your EHR or practice management system, send welcome packets and pre-session questionnaires, schedule intake appointments, and notify your clinical team. This means less administrative work and more time focused on providing quality care.

For practices requiring signed consent documents, Papersign (papersign.com) can convert the intake submission into a formal consent agreement for eSignature, creating a complete audit trail that meets regulatory requirements while eliminating paper-based processes.

Secure, compliant, and trusted

While Paperform is not HIPAA compliant, it offers SOC 2 Type II compliance, data encryption, and secure data handling suitable for initial intake and administrative processes. Many practices use Paperform for pre-appointment intake and general information gathering, then transfer PHI to HIPAA-compliant systems for clinical records. Always consult with your compliance team to determine the appropriate use for your specific practice requirements.

Trusted by over 500,000 teams worldwide, Paperform helps mental health professionals deliver a modern, compassionate intake experience that reflects the quality of care you provide.