Health & Wellness
Mental Health Therapy Intake form template
A compassionate, confidential intake for new therapy clients. Capture presenting concerns, a wellbeing grid, and a voice note so your therapist can prepare a supportive first session.
ConfidentialVerified Client
What’s in the box
Your Words Matter
Voice notes let you share context in a way that feels natural.
Gentle Screening
Wellbeing grids surface what to focus on, sensitively.
Always Private
Verified access keeps your story confidential.
Perfect for
- Individual therapy onboarding
- Anxiety and depression screening
- Telehealth counseling intake
- Couples therapy pre-assessment
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Free forever for up to 1,000 submissions a month. No credit card.
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