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Free template

Free client intake form template

A printable client intake form for coaches and therapists, with prompts for everything you need before the first session. Free, no signup. Or collect it digitally in Soap Notes.

Use it free in Soap Notes

Client Intake Form

Client name: ______________________

Date of birth: ______________________

Email: ______________________

Phone: ______________________

1

Presenting concern

What brings the client in, and what they hope to get from working with you.

2

Relevant history

Background that helps you support them, prior support, health notes, and anything they want you to know.

3

Goals

What success looks like for the client, and any specific outcomes they're aiming for.

4

Availability & preferences

Preferred session times, format (in person or online), and how they'd like you to communicate.

5

Consent & policies

Confirmation that the client has read your privacy, cancellation, and payment policies, with a signature and date.

More free templates: SOAP Note · Progress Note · Treatment Plan

Frequently asked questions

At minimum: contact details, the client's presenting concern and goals, relevant history, availability and preferences, and consent to your privacy and cancellation policies. This template covers all of those.

Yes. Print or save it for free with no signup. You can also send intake questions digitally and have answers attached to the client record inside Soap Notes.

Yes. The prompts are written to work for coaches, counselors, and therapists. Adapt the wording to your practice and the way you work.

In Soap Notes, clients complete intake before the session and their answers are waiting on the session record, so you're not chasing paperwork or re-typing anything.

Skip the paperwork

Document sessions in seconds with reusable templates and autosave, plus scheduling, invoicing, and a client portal. Free for solo practitioners.