Sexual Dysfunction Therapy Intake Form

Sexual dysfunction therapy requires a nuanced, compassionate approach—and that begins with understanding the full picture. This Sexual Dysfunction Therapy Intake Form is designed for mental health professionals, counselors, and sex therapists who need to gather sensitive information in a respectful, secure environment.

The form guides clients through questions about relationship satisfaction, medical history, performance anxiety, intimacy goals, and contributing factors—all essential for creating an effective, personalized treatment plan. By using conditional logic, the form adapts to each client's situation, ensuring they only see questions relevant to their experience.

Why Paperform is ideal for therapy intake

Privacy and professionalism matter. With Paperform, you can create forms that feel warm and human—not clinical or impersonal. Customize fonts, colors, and layouts to match your practice brand, and embed forms directly into your website or share via a custom domain. Submissions are encrypted and Paperform is SOC 2 Type II compliant, giving you and your clients peace of mind.

Automate your therapy workflows

Once a client submits this intake form, you can use Stepper to automate what happens next. Route submissions to your practice management software, send personalized welcome emails, schedule initial consultations, or create client files in your CRM—all without lifting a finger. This means you spend less time on admin and more time providing care.

For practices that require signed consent forms, you can also use Papersign to send treatment agreements, HIPAA notices, or informed consent documents for secure eSignature, keeping everything linked to the original intake for a complete client record.

Trusted by therapists, counselors, and mental health professionals worldwide, Paperform helps you create intake experiences that put clients at ease from the very first interaction.