Residential DBT Treatment Application for Borderline Personality Disorder
About this free form template

Streamline Your Residential BPD Treatment Admissions with Paperform

Finding the right fit for residential treatment is a critical process that requires careful assessment and clear communication. This Residential DBT Treatment Application for Borderline Personality Disorder template is designed to help mental health facilities, behavioral health centers, and specialized residential programs efficiently evaluate potential clients while maintaining the sensitivity and professionalism this process demands.

Why This Template Works for Mental Health Providers

Residential treatment applications require more than basic intake information. You need to understand a client's treatment history, assess their commitment to evidence-based therapies like Dialectical Behavior Therapy (DBT), evaluate safety concerns, and gauge family support systems—all while creating a welcoming, judgment-free experience.

This template guides applicants through:

  • Personal and clinical history including previous diagnoses, medications, and treatment experiences
  • DBT therapy commitment assessment to ensure program alignment and readiness
  • Safety planning and self-harm evaluation with appropriate clinical sensitivity
  • Family involvement and boundaries work to assess support systems and relationship dynamics
  • Program expectations and consent for a transparent admission process

Built for Clinical Workflows, Not Just Data Collection

Mental health professionals need intake forms that do more than collect information—they need to trigger the right clinical workflows. With Paperform's conditional logic, you can show or hide questions based on responses, ensuring each applicant only sees relevant sections. For example, if someone indicates recent self-harm, you can immediately present safety planning questions and crisis resources.

After submission, use Stepper (stepper.io) to automate your clinical review process: route applications to appropriate clinical staff based on acuity level, send intake packets for signature via Papersign (papersign.com), schedule initial assessments, and update your practice management system—all without manual data entry.

Professional, Compassionate Design That Builds Trust

First impressions matter deeply in mental health care. This template uses Paperform's document-style editor to create a form that feels more like a thoughtful conversation than a clinical questionnaire. You can easily customize fonts, colors, and branding to match your facility's identity, and add supportive messaging, crisis resources, or calming imagery throughout the form.

The multi-page layout breaks the application into manageable sections, reducing overwhelm for applicants who may already be experiencing distress. Each section flows naturally into the next, creating a sense of progress rather than interrogation.

HIPAA Considerations and Security

While Paperform is not HIPAA compliant, this template can be used for initial inquiry and pre-screening purposes before formal clinical intake. For facilities requiring HIPAA compliance, we recommend using this form for preliminary information gathering, then transitioning to HIPAA-compliant systems for protected health information. Always consult with your compliance team about your specific requirements.

Paperform does offer SOC 2 Type II compliance, data encryption, and advanced security features that make it suitable for many healthcare administrative workflows.

Perfect for Multiple Treatment Settings

This template is ideal for:

  • Residential treatment centers specializing in BPD and complex trauma
  • Intensive outpatient programs evaluating candidates for residential step-up
  • Mental health clinics offering specialized DBT programming
  • Behavioral health facilities with family therapy components
  • Private practice groups considering residential referrals

Integrate with Your Existing Tech Stack

Mental health providers often juggle multiple systems. Paperform integrates seamlessly with the tools you already use:

  • Send applications to your CRM or practice management software (SimplePractice, TherapyNotes, etc.)
  • Log submissions in Google Sheets or Airtable for clinical review tracking
  • Trigger Slack notifications when urgent safety concerns are flagged
  • Use Stepper to create sophisticated intake workflows that coordinate between your admissions, clinical, and billing teams

Customization Made Simple

Every residential program has unique admission criteria and assessment needs. With Paperform's intuitive editor, you can:

  • Add or remove questions to match your clinical model
  • Adjust safety assessment questions to align with your protocols
  • Include insurance verification questions
  • Add custom assessment scales or screening tools
  • Incorporate video messages from clinical directors or program alumni

No coding required—just type, format, and publish.

Supporting Clients and Families Through a Difficult Process

Seeking residential treatment is often one of the most vulnerable decisions someone can make. This template is designed with compassion at its core, using clear language, offering space for clients to tell their story in their own words, and providing transparency about what to expect next.

By streamlining your application process with Paperform, you free up clinical staff to focus on what matters most: providing exceptional care and building therapeutic relationships from the very first contact.


Ready to transform your residential treatment admissions? Start with this template and customize it to reflect your program's unique approach to healing and recovery.

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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
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