Client intake form templates

An intake form is the first real conversation with a new client, done before you meet. It is worth more than a contact form because it asks the questions you would otherwise spend the first half hour on: what they want, what they have tried, what is off limits, what they can spend. Each template here is written for one kind of practice, so a personal trainer is asked about injuries and an accountant is asked about year-end, and nobody is asked for things the practice does not need. None of them is built for medical records.

Intake forms

Which one do you need?

Each template is built for one job. Start from the closest and change the rest in the editor.

What intake forms have in common

Across the 70 real forms we read for these templates, these are the details almost every one of them asks for. The rest is what makes each form its own. From the Form Field Index.

  1. Name 97% (68 of 70 forms)
  2. Phone number 94% (66 of 70 forms)
  3. Email address 90% (63 of 70 forms)
  4. Postal address 71% (50 of 70 forms)
  5. Date of birth 61% (43 of 70 forms)
  6. Signature 53% (37 of 70 forms)
  7. Date signed 44% (31 of 70 forms)
  8. Comments 40% (28 of 70 forms)
  9. How they heard about you 33% (23 of 70 forms)
  10. Medications 33% (23 of 70 forms)

Questions about intake forms

Can I use these intake forms for patient records?

No. PulseFormCreator is not HIPAA compliant, so it is not for medical practices collecting patient health records. The wellness templates here ask only the screening questions a trainer or massage therapist needs before a session.

Can clients fill it in over more than one sitting?

Yes. Turn on Save and finish later and people can leave and come back to where they stopped.

Can I pre-fill the client’s name from my booking link?

Yes. Add a hidden field or a default answer that reads from the link, such as ?name=Sam, and the form opens with it filled in.