Counseling Intake Form 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.