Counseling Intake Form Template

Looking to register patient intake information on your network? Simplify the patient intake process using this counseling intake form template. Get it now!

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About this template

The counseling intake form template helps you simplify the patient registration process by collecting their background information and medical history in just a few steps. With the counseling intake form you’ll have an overview of the patient that requests your counseling services, while you’ll keep their records organized and safe. Customize this template as you see fit with our form builder.

Use our online counseling intake form template to get a glimpse into the type of information you could request from patients upon registration and expand as you see fit. Share it on your website as part of your registration process and give your patients a user-friendly way to access your services.

Frequently Asked Questions

What is an intake form for counseling?

An intake form for counseling allows you to have some background details about your potential patients. It’s your first point of connection with your client, where you find out demographic info, medical history, therapy history (if any), and why they are looking for your services.

What is the purpose of a counseling intake form?

The purpose of the counseling intake form is to have your patients registered for your counseling services and better understand their needs and goals.

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