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Family Therapy Intake Form Template

A template to collect essential information from families seeking therapy services.

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About This Template

Family Therapy Intake Form Template

This template provides a structured way for therapists and counselors to gather important background and contact information from families beginning therapy.

What is a Family Therapy Intake Form Template?

A Family Therapy Intake Form Template is a document used by mental health professionals to collect details about family members, presenting concerns, medical history, and therapy goals. It helps ensure that therapy sessions are tailored to each family's unique needs.

Who Is This For?

This template is ideal for:

  • Family therapists and counselors
  • Mental health clinics and organizations
  • Families starting therapy

Using this template ensures all relevant information is collected, supporting effective and personalized therapy.

How to Use This Form

  1. 1 Click "Try This Template" to open it in the Optform editor.
  2. 2 Customize the questions, fields, and design to match your brand.
  3. 3 Set up conditional logic to personalize the experience for respondents.
  4. 4 Publish your form and share it via link, embed, or QR code.
  5. 5 Track responses in real-time from your Optform dashboard.

Best Practices for Healthcare

  • Ensure HIPAA compliance by using secure data collection methods.
  • Keep medical forms concise — only ask for information you truly need.
  • Use clear, jargon-free language that patients can easily understand.
  • Include consent checkboxes for data processing and privacy.

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