Wilderness Therapy & Adventure Fitness Intake Form
About this free form template

Transform Your Life Through Wilderness Therapy & Adventure Fitness

Wilderness therapy and adventure fitness programs combine the healing power of nature with physical conditioning and therapeutic support to create profound personal transformation. Whether you're seeking mental health treatment in an outdoor setting, building resilience through adventure challenges, or reconnecting with yourself away from daily distractions, a comprehensive intake process ensures you're matched with the right program for your unique journey.

This Wilderness Therapy & Adventure Fitness Intake Form template is designed for outdoor therapy centers, adventure wellness retreats, therapeutic wilderness camps, and fitness programs that blend mental health support with outdoor activities. Built with Paperform, this template helps practitioners gather essential information about participants' outdoor experience, mental health history, physical conditioning, comfort with group living, and transformational goals—all in one professional, compassionate intake form.

Why Wilderness Programs Need Specialized Intake Forms

Traditional therapy and fitness intake forms don't capture the unique considerations of wilderness-based programs. Participants need to be assessed for:

  • Outdoor experience and comfort levels with camping, hiking, and wilderness activities
  • Mental health treatment needs and therapeutic goals in a non-clinical setting
  • Physical conditioning and medical clearance for demanding outdoor activities
  • Group living readiness and interpersonal skills for community-based programs
  • Safety considerations including allergies, medications, and emergency contacts
  • Personal transformation goals that go beyond typical fitness or therapy outcomes

This intake form template addresses all these dimensions, giving program leaders the information they need to create safe, effective, and personalized wilderness therapy experiences.

Perfect for Adventure Therapy Providers & Wellness Retreats

This template is ideal for:

  • Wilderness therapy programs treating adolescents and adults with mental health challenges
  • Adventure fitness retreats combining outdoor challenges with wellness coaching
  • Therapeutic camping programs for trauma recovery and personal growth
  • Outdoor leadership training with mental health components
  • Nature-based wellness centers offering immersive healing experiences
  • Expedition therapy programs for groups and individuals
  • Adventure coaching businesses focused on transformation through outdoor challenges

How This Template Streamlines Your Intake Process

Instead of juggling multiple PDFs, email chains, and phone screenings, this Paperform template gives you a single, professional intake experience that:

  • Collects comprehensive information about mental health history, physical fitness, outdoor skills, and program expectations
  • Uses conditional logic to show relevant follow-up questions based on experience levels and needs
  • Creates a compassionate experience with thoughtful questions that honor each person's journey
  • Syncs with your practice management tools via Stepper, Zapier, or native integrations
  • Maintains HIPAA-friendly practices through secure data collection and storage options
  • Saves staff time by gathering all essential information before the initial consultation

The form can be embedded on your website, shared via email, or sent as a standalone link, and it works beautifully on any device—important for families and individuals researching programs from home.

Comprehensive Assessment Areas

This wilderness therapy intake template covers:

  1. Personal Information & Emergency Contacts - Basic demographics and multiple emergency contacts for remote program safety
  2. Outdoor Experience Assessment - Current skill levels with hiking, camping, navigation, and wilderness living
  3. Mental Health History & Treatment Goals - Current challenges, past treatment, medications, and therapeutic objectives
  4. Physical Health & Fitness Level - Medical conditions, fitness assessment, dietary needs, and physical limitations
  5. Group Living & Social Comfort - Experience with communal living, social anxiety, and interpersonal skills
  6. Transformational Goals - Personal growth objectives, what participants hope to change or discover
  7. Program Preferences - Duration, intensity level, and specific program interests
  8. Medical Clearance & Consent - Required health screenings and permission for participation

Customization for Your Program's Unique Approach

Every wilderness therapy and adventure fitness program has its own philosophy and methods. This template is fully customizable, so you can:

  • Add questions about specific modalities you use (CBT, DBT, mindfulness, somatic therapy)
  • Include questions about previous outdoor program experiences
  • Adjust fitness requirements based on your program's physical demands
  • Add specialized questions for youth, adult, or family programs
  • Include questions about substance use history if relevant to your program
  • Add insurance and payment information fields
  • Customize the tone to match your brand—from clinical and professional to warm and adventure-focused

Automation That Supports Your Intake Workflow

After someone submits their intake form, Paperform's conditional logic and integrations can trigger the right next steps:

  • Send different follow-up emails based on urgency or program fit
  • Create records in your CRM or practice management system automatically
  • Route applications to different staff members based on program type or needs
  • Generate intake summaries for clinical review
  • Schedule screening calls or assessments through calendar integrations
  • Use Stepper workflows to manage multi-step approval processes, insurance verification, or family consultations

This means your intake process becomes a smooth, professional experience from first inquiry to program acceptance.

Building Trust Through Thoughtful Intake

For individuals and families considering wilderness therapy, the intake form is often their first substantial interaction with your program. A well-designed form demonstrates:

  • Professionalism and safety consciousness through comprehensive health and experience questions
  • Therapeutic expertise by asking about mental health in respectful, informed ways
  • Personalization by gathering information about individual goals and needs
  • Transparency about program requirements and expectations

This builds confidence in your program and sets the stage for transformational work.

Security, Compliance, and Confidentiality

Mental health and medical information requires the highest levels of security. While Paperform is not HIPAA-compliant, it offers SOC 2 Type II compliance and robust security features that support confidential intake processes. For programs requiring HIPAA compliance, you can use this form for initial inquiries and then transition to HIPAA-compliant tools for protected health information.

Paperform's security features include:

  • Encrypted data transmission
  • Secure data storage
  • Access controls and permissions
  • Data residency options
  • Integration with HIPAA-compliant storage solutions

Trusted by Wellness Professionals Worldwide

Paperform is used by over 500,000 teams, including therapists, coaches, wellness centers, and fitness professionals who need to collect sensitive information with care and professionalism. The platform's intuitive editor means you can customize this template yourself without technical skills, and the beautiful, on-brand design helps you stand out in a competitive wellness market.

Get Started with Your Wilderness Program Intake

This template gives you everything you need to create a thorough, compassionate intake experience for wilderness therapy and adventure fitness participants. Customize the questions, match your brand styling, and start gathering the information you need to guide people toward meaningful transformation in the great outdoors.

Whether you're launching a new wilderness therapy program or improving your existing intake process, Paperform helps you collect the right information, automate follow-up, and focus on what matters most—creating life-changing experiences in nature.

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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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