Onboarding

Therapy Intake Form Builder for Solo Practices

Build a comprehensive new-client intake form covering demographics, history, presenting concerns, and risk screening.

Demographics

Identifying details and emergency contact.

Presenting concerns & goals

What brought the client in and what they hope to work on.

History

Medical, mental health, family, and substance use history.

Risk screening

Brief assessment of safety. A follow-up suicide-risk assessment is recommended when either risk box is positive.

Ready to share?

Validate the form, then download your intake form PDF.

Intake form preview

Date of birth formatted as .

Fill out demographics, presenting concerns, goals, and emergency contact to see the formatted intake form.

Generated with the EasyMindCare Therapy Intake Form Builder.

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Related Tools

Compare this result with a few adjacent planning tools for pricing, overhead, or private-practice transition decisions.

What this intake form builder helps you do

A complete intake sets the tone for treatment. This builder prompts for every section a defensible intake needs — demographics, presenting concerns, goals, history, medications, and a brief risk screen — so nothing important is missed during the first session.

Use it to standardize intake paperwork across the practice, or to draft a printable intake form you can hand to a client. The intake stays in your browser until you copy or print it.

Use it when you need to

  • Standardize the intake format your practice uses for every new client.
  • Capture demographic, medical, mental health, and family history in one structured pass.
  • Run a brief risk screen at intake and document it before treatment begins.
  • Convert the finished intake into the first entries of a treatment plan.

FAQ

Questions therapists ask before using this calculator

What sections should a therapy intake form include?

A complete intake covers demographics, presenting concerns, goals for therapy, medical and mental health history, family history, substance use, current medications, and a brief risk screening for self-harm or harm to others.

Can clients fill out the intake form themselves?

This tool is designed for the clinician to capture intake information during the first session. If you want a client-facing online intake form, an EHR like EasyMindCare lets clients complete it in a secure portal before their first appointment.

Is the intake form stored anywhere?

No. This builder runs entirely in your browser, so intake data stays on your device until you print or save it. Move the finished intake into a HIPAA-secure chart as soon as possible.

Why include a risk screening on the intake form?

Asking about suicidal thoughts and self-harm history on intake helps you triage risk from day one. Document a clear risk picture, complete a structured assessment when needed, and have a safety-plan conversation before the first session ends.

How long should a therapy intake take to complete?

Most intakes take 45-60 minutes when reviewed in session. Online pre-intake forms can shorten the in-session portion and give the clinician time to review history before the first appointment.

Not legal, clinical, or professional advice
The free tools on this page are provided for general informational and educational purposes only. EasyMindCare does not collect, store, transmit, or process any data you enter here — everything runs in your browser unless you choose to print, download, or share the output yourself. Outputs are starting points, not substitutes for advice from a qualified attorney, tax professional, licensed clinician, or other expert appropriate to your situation. You are solely responsible for how you use these tools and for any data, records, or decisions that result from that use. Use at your own risk; no warranty is made as to accuracy, completeness, or fitness for a particular purpose.