Intake form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date, your full name, and date of birth in the designated fields. This information is essential for identification purposes.
3. In the Medical History section, provide details about your primary care provider and list any medications or supplements you are currently taking. Be honest about your previous therapy experiences and indicate whether they were helpful.
4. Describe your current stressors in detail. Check any relevant boxes that apply to your situation over the past year, ensuring you communicate any significant life changes.
5. For behaviors and symptoms, check all that apply to you. This helps in understanding your mental health status better.
6. Finally, review all sections for accuracy before signing. If necessary, have a parent or guardian sign if you are underage.

Start filling out your intake form today for free and streamline your counseling process!