---
title: Substance Abuse Intake Form Template for Addiction Treatment Centers | Paperform
description: Professional substance abuse intake form for treatment centers to collect addiction history, withdrawal symptoms, and recovery preferences. HIPAA-alternative secure, mobile-friendly, and customizable.
url: "https://paperform.co/templates/substance-abuse-intake-form"
type: static
generatedAt: "2026-03-28T00:45:17.936Z"
---

[← Back to free form templates](/templates/)    ![Substance Abuse Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/substance-abuse-intake-form.png)
    [Preview](https://_preview.paperform.co/ai-template/substance-abuse-intake-form) [Use this template for free](/create?ai-template=substance-abuse-intake-form)    [Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/)[Addiction & Recovery Services](/templates/industry/addiction-recovery/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Therapist](/templates/role/therapist/)[Counselor](/templates/role/counselor/)[Psychologist](/templates/role/psychologist/)[Social Worker](/templates/role/social-worker/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Your Substance Abuse Intake Process with Paperform

Getting clients into treatment quickly and safely requires comprehensive information gathering—but traditional paper intake forms can slow down the process and lead to incomplete or hard-to-read submissions. This **Substance Abuse Intake Form** template is designed specifically for addiction treatment centers, outpatient programs, detox facilities, and mental health providers offering substance abuse services.

The form captures essential information including substance use history, withdrawal symptoms, previous treatment attempts, and recovery program preferences, allowing your clinical team to make informed decisions about care plans before the client even walks through the door. With conditional logic built in, the form adapts based on the type of substance use, showing relevant follow-up questions without overwhelming clients with unnecessary fields.

#### Why Paperform is ideal for addiction treatment intake

Paperform's HIPAA-alternative secure platform means you can collect sensitive health information with confidence. SOC 2 Type II compliance and data residency controls ensure patient data stays protected. Forms can be completed on any device, allowing clients or family members to fill them out at home, reducing wait times and administrative burden on intake staff.

The doc-style editor lets you add compassionate, supportive language between clinical questions—something that matters when working with vulnerable populations. You can embed videos about your program, include images of your facility, and create a welcoming experience that reduces anxiety around taking the first step toward recovery.

#### Automate your intake workflow with Stepper

Once a client submits their intake form, [Stepper](https://stepper.io) can automatically route the information to your clinical team, create a new patient record in your EHR system, schedule an initial assessment, and send appointment confirmation emails—all without manual data entry. You can set up approval workflows for insurance verification, trigger different onboarding sequences based on substance type or severity, and keep your team coordinated across multiple locations.

This template is trusted by outpatient treatment centers, residential facilities, mental health clinics, and community health organizations across the country. Whether you're a small private practice or a multi-site treatment network, this form gives you a professional, compassionate intake experience that gets clients the right care faster.
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