Reproductive Trauma Therapy Intake Form

Supporting Clients Through Reproductive Trauma with Compassionate Care

Reproductive trauma—whether from fertility struggles, pregnancy loss, birth trauma, or challenging medical interventions—requires specialized, trauma-informed therapeutic support. This Reproductive Trauma Therapy Intake Form helps mental health professionals gather essential background information while creating a safe, validating space for clients to share their experiences.

Designed for Trauma-Informed Mental Health Practices

This intake template is specifically built for therapists, counselors, and psychologists who specialize in reproductive mental health. It covers the full spectrum of reproductive trauma experiences including infertility, miscarriage, stillbirth, termination for medical reasons, birth trauma, postpartum complications, and the emotional toll of medical interventions like IVF.

The form uses sensitive, inclusive language that acknowledges the complexity of these experiences and allows clients to share as much or as little as they're comfortable with at this initial stage.

Comprehensive Yet Compassionate Assessment

Rather than a clinical checklist, this form flows like a conversation—gathering demographics, reproductive history, current concerns, mental health background, support systems, and therapy goals while maintaining a trauma-informed approach. Conditional logic ensures clients only see questions relevant to their specific experiences, reducing unnecessary emotional burden.

With Paperform's document-style editor, you can easily customize the language, add your practice's branding, and adjust questions to match your therapeutic approach and specialization.

Streamline Your Practice with Integrated Workflows

Beyond intake, this form can trigger the workflows that keep your practice running smoothly. Use Stepper to automatically send welcome packets, add clients to your practice management system, schedule initial sessions, and send pre-session questionnaires—all without manual data entry.

Connect to your existing tools like Google Calendar for scheduling, your EHR system for record-keeping, or your email platform for nurturing communication sequences that support clients between sessions.

Secure, Compliant Client Information Management

Paperform is SOC 2 Type II compliant and offers secure data handling with encryption, making it suitable for collecting sensitive mental health intake information. Set up automated confirmation emails that reassure clients their information has been received and outline what to expect next in the intake process.

Whether you're a solo practitioner, group practice, or reproductive mental health clinic, this template provides a professional, compassionate first touchpoint that sets the tone for healing-centered therapeutic work.

Trusted by mental health professionals worldwide, Paperform helps you create intake experiences that honor your clients' stories while gathering the clinical information you need to provide excellent care.