Prolonged Exposure Therapy Intake & Readiness Assessment
About this free form template

Streamline Your Prolonged Exposure Therapy Practice with Paperform

Managing a trauma-focused therapy practice requires careful attention to client readiness, informed consent, and safety planning. This Prolonged Exposure Therapy Intake & Readiness Assessment template is designed specifically for mental health professionals offering PE therapy for PTSD, helping you gather critical information before beginning treatment.

Why This Template Works for Trauma Therapists

Prolonged exposure therapy is an evidence-based treatment that requires careful preparation and assessment. This form helps you evaluate client readiness for trauma narratives, in-vivo exposure exercises, and establishes essential safety protocols—all before the first therapy session begins.

The template includes specialized sections for:

  • Trauma history and PTSD symptom assessment to understand baseline functioning
  • Willingness and readiness scales for imaginal exposure (trauma narratives) and in-vivo exposure exercises
  • Session recording consent with clear explanations of therapeutic benefits
  • Safety planning components including support networks and crisis resources
  • Treatment expectations to ensure informed consent and collaborative goal-setting

Integrate Your Therapy Workflow Seamlessly

With Paperform's healthcare-friendly features, you can accept appointment bookings directly through the form, process session fees via integrated payments, and sync client information to your practice management system or secure CRM. Use conditional logic to tailor follow-up questions based on symptom severity or readiness levels.

Need clients to sign consent forms after submission? Papersign lets you automatically generate and send HIPAA-compliant consent agreements for eSignature, keeping everything connected to the original intake for complete documentation.

Want to automate your intake workflow? Stepper can route new submissions to your scheduling system, send welcome packets, create client files in your EHR, and trigger reminder sequences—all without manual data entry.

Professional, Compassionate Client Experience

This template balances clinical thoroughness with a warm, accessible tone that helps anxious clients feel comfortable sharing sensitive information. The clean, professional design reflects the care and expertise you bring to trauma treatment, while the logical flow makes it easy for clients to complete at their own pace.

Trusted by therapists, counselors, and mental health professionals worldwide, Paperform offers SOC 2 Type II compliance and robust security features to protect your clients' sensitive health information. Start using this template to create a more efficient, professional intake process that lets you focus on what matters most—providing excellent trauma-focused care.

Please note: While Paperform is SOC 2 Type II compliant and offers robust security, it is not a HIPAA-compliant solution. Mental health professionals should ensure their data handling practices align with applicable regulations.

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
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
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.