Somatic Therapy Emergency Contact Form
About this free form template

Somatic Therapy Emergency Contact Form: Trauma-Informed Client Safety

For somatic therapists, mental health professionals, and bodywork practitioners, understanding a client's emergency contacts, body awareness, and trauma responses is essential for providing safe, effective care. This Somatic Therapy Emergency Contact Form helps you collect crucial information about emergency contacts, touch boundaries, body-stored trauma, and grounding techniques—all in one compassionate, trauma-informed intake.

Built for therapists, counselors, trauma specialists, and wellness practitioners who integrate body-based modalities, this template goes beyond standard contact forms. It captures the nuanced information needed for somatic work: how clients experience their bodies, what touch feels safe, where they hold tension or trauma, and which grounding techniques work best for them.

Why This Template Works for Somatic Practitioners

Whether you're a somatic experiencing practitioner, trauma therapist, or holistic wellness provider, this form helps you:

  • Establish safety from session one by documenting touch consent boundaries and body awareness levels
  • Prepare for crisis situations with complete emergency contact details and preferred support persons
  • Understand trauma patterns by mapping where clients experience body-stored stress and tension
  • Personalize your approach using information about effective grounding and self-regulation techniques
  • Maintain professional standards with clear consent documentation for body-based work

The form strikes the right balance between gathering clinical information and creating a welcoming, non-threatening intake experience. Questions are framed with trauma-informed language that respects each client's autonomy and nervous system regulation needs.

Automate Your Practice with Paperform + Stepper

This somatic therapy form integrates seamlessly into your practice management workflow. Use Paperform to collect sensitive client information securely with SOC 2 Type II compliance, then connect Stepper to automatically route submissions to your practice management system, schedule follow-up emails, or trigger intake appointment confirmations.

You can also use Papersign to convert submissions into formal consent agreements for touch-based work, creating a complete audit trail for professional liability protection.

Perfect for somatic experiencing therapists, EMDR practitioners, sensorimotor psychotherapists, massage therapists offering trauma-informed bodywork, yoga therapists, and any mental health professional incorporating body-based healing modalities into their practice.

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.