Pathological Demand Avoidance (PDA) Therapy Intake Form
About this free form template

Comprehensive PDA Therapy Intake Form

Pathological Demand Avoidance (PDA) is a complex profile that requires a nuanced, individualized approach to therapy. This PDA Therapy Intake Form helps mental health professionals, therapists, and counselors gather essential information about avoidance patterns, anxiety triggers, meltdown frequency, and the impact on daily functioning—all in one comprehensive, compassionate format.

Why Use This PDA Intake Form?

For therapists and counselors working with neurodivergent clients, particularly those with PDA profiles, understanding the unique presentation of demand avoidance is crucial for effective treatment planning. This form captures:

  • Avoidance patterns and strategies clients use to manage everyday and direct demands
  • Anxiety triggers that precipitate avoidance behaviors and dysregulation
  • Meltdown and shutdown frequency to assess severity and intervention needs
  • Functioning impact across home, school, work, and social environments
  • Sensory sensitivities and masking behaviors that often accompany PDA
  • Previous therapeutic experiences to inform trauma-informed approaches

Built for Mental Health Professionals

Whether you're a psychologist, counselor, occupational therapist, or other mental health professional, this template provides a structured yet flexible framework for gathering clinical information. The form uses conditional logic to reveal relevant follow-up questions based on responses, ensuring you collect detailed information without overwhelming clients or caregivers.

With Paperform, you can customize this intake form to match your practice's branding, adjust questions to align with your therapeutic approach, and embed it directly on your website. All submissions are securely stored and can integrate with your practice management software, CRM, or electronic health records system through native integrations or automation tools like Stepper.

Streamline Your Intake Process

Traditional paper intake forms can be time-consuming to complete, difficult to read, and prone to getting lost. This digital PDA intake form allows clients or caregivers to complete the assessment at their own pace, from the comfort of their home, reducing the anxiety that often comes with new therapeutic relationships. Once submitted, you'll receive organized, legible responses that you can review before the first session, making your initial consultation more productive and person-centered.

For practices managing multiple clients, Paperform's secure storage and search functionality means you can quickly access intake information when you need it. If you're looking to further automate your workflow—such as automatically creating client files, sending welcome packets, or scheduling follow-ups—Stepper can help you build those connections without any coding required.

Designed with Neurodivergent-Affirming Principles

This form template is created with awareness of the challenges faced by individuals with PDA profiles. Questions are worded carefully to avoid triggering demand avoidance, and the format allows for narrative responses where clinical checklists might feel constraining. The form respects the autonomy and lived experience of clients and their families, supporting a collaborative therapeutic relationship from the very first interaction.

Trusted by mental health professionals worldwide, Paperform provides SOC 2 Type II compliant, secure form solutions that protect sensitive client information while delivering an accessible, user-friendly experience for everyone involved in the intake process.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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