Intake Forms

Download a therapy intake form from Between Sessions! We have the intake form that you need for your practice, designed by our professional team so you can focus on the needs of your patients instead of your paperwork. Sign up with Between Sessions for the counseling intake form that you need today, and be sure to check out our other practice management forms.

bullet Assessments
Life History Questionnaire — This questionnaire covers a wide range of issue that would be useful as a starting point in therapy, including a checklist of problems, information about family background, health issues, and so on. Type: PDF (1014)

bullet Forms
Child Intake Form — Child Intake Form: This form is can be used as a model for obtaining intake information when treating children. It is in MSWord format and you should modify it to suit your professional needs. MSWord

12 Essential Practice Management Forms — This book is designed to give clinicians easy access to basic practice management forms. It is in MSWord format, and will download automatically when you click on it. Feel free to modify the forms as you see fit adding your contact information, logo, and other relevant information. Please note that we have many additional practice management forms available to member on this site. Use the search box to find what you are looking for. Type: MSWord. (0115)Ebook.

Sliding Scale Fee Agreement — This form can be modified to state a therapist’s sliding scale schedule and to obtain a signed agreement regarding the terms of a reduced fee. Type of Form: MSWord (1114)

Developmental History Questionnaire — This form is intended to obtain a comprehensive history on young clients. The form should be modified to fit the needs of the individual therapist or clinic. Type: MSWord (1014)

Psychotherapy Agreement With A Minor — This form is intended for use with older children or teens to introduce the concept of confidentiality in therapy. The form can be modified to fit the needs of the individual therapist or clinic. Type: MSWord (1014)

Couples Therapy Agreement — This form is designed to be given to couples at the beginning of Couples Therapy. It is intended to orient individuals to the basic purpose of Couples Therapy. (MSWord)

Client Intake Form — This is a standard client intake form. (MSWord)

Coaching Intake Checklist — This is a standard coaching intake checklist. (MSWord)

bullet Worksheets
Initial Session Solution Focused Questions — This worksheet can be used as a guide for therapists to ask solution-focused questions during the early sessions of therapy. The questions are designed to stimulate the growth process of clients from their very first encounter with a therapist. PDF

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