Halloform
Health & Wellness

Mental Health Intake form template

A mental health intake: client and emergency-contact details, presenting concerns, history, current symptoms and therapy goals, with a consent to treatment β€” a sensitive, thorough first-session record.

IntakeMental healthConfidential
Open preview in new tab

What’s in the box

Presenting picture

Concerns, history and current symptoms captured before session one.

Goal-oriented

Client goals recorded to shape the therapeutic plan.

Perfect for

  • Therapists
  • Psychologists
  • Counselling practices
  • New clients

Other templates you might like

Browse all β†’

Start with Mental Health Intake, ship today

Free forever with unlimited submissions. No credit card.

Use this template