Why is a psychology intake form used?

A psychology intake form gathers essential medical and psychological history, emergency contact information, and consent documentation so mental health professionals can accurately assess and diagnose their clients.

What should be included in a psychology intake form?

A psychology intake form should include sections for personal information, medical history, current symptoms, emergency contacts, consent for treatment, and goals for therapy sessions.

When to use a psychology intake form?

A psychology intake form should be used during the initial assessment of a client seeking mental health services to gather comprehensive information and set goals for therapy sessions.

Who can use a psychology intake form?

Mental health professionals, clinics, social workers, educational institutions, and human resources departments can use psychology intake forms to assess and provide therapy to clients.

How to create a psychology intake form with Jotform?

With Jotform's user-friendly Form Builder and Mobile App, mental health professionals can easily create and customize psychology intake forms to streamline their intake processes and enhance the overall client experience.

What are the benefits of using a psychology intake form?

The benefits of using a psychology intake form include streamlining the assessment process, gathering comprehensive information, setting therapy goals, enhancing client communication, and improving overall treatment outcomes.

Psychology Intake Form Template

Psychology Intake Form

About this template

A Psychology Intake Form is used by medical professionals to assess new patients to a mental health clinic. Collect patient information for your mental health practice with a free Psychology Intake Form. Easily customize the form to pull in the information you need to sign new patients into your clinic, including their contact information, insurance information, and health history. If you want to keep your patient’s information private, Jotform offers HIPAA-friendly features to protect you from liabilities. If you’d like to keep it simple, just share a link to the form or embed it on your website. You can also convert submissions into PDFs for easy sharing and printing.

Add your logo and update the form's background to fit your brand. If you’d like to collect responses to your other accounts — such as Google Drive, Dropbox, Box, or Airtable — do it automatically with Jotform’s 100+ free integrations. View responses and get the information you need from patients with a free online Psychology Intake Form.

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These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.