¶¶Òõ¶ÌÊÓƵ

Therapy Intake Form Generator for the USA

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Therapy Intake Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Therapy Intake Form

"I need a Therapy Intake Form for my private psychology practice in London that specializes in cognitive behavioral therapy, compliant with GDPR and including specific sections for trauma assessment and online therapy consent."

Document background
The Therapy Intake Form is a crucial document required at the initiation of any therapeutic relationship in England and Wales. It serves multiple purposes: gathering essential client information, establishing the therapeutic contract, ensuring informed consent, and maintaining compliance with UK GDPR and healthcare regulations. This document is typically completed before or during the first therapy session and forms part of the client's clinical record. It should be regularly reviewed and updated to ensure ongoing compliance with evolving healthcare standards and data protection requirements.
Suggested Sections

1. Personal Information: Basic client details including name, contact information, and emergency contacts

2. Medical History: Current and past medical conditions, medications, and treatments

3. Mental Health History: Previous mental health treatments and diagnoses

4. Consent for Treatment: Client's agreement to receive therapy services

5. Confidentiality Statement: Information about privacy policies and limits of confidentiality

6. Payment and Cancellation Policies: Financial arrangements and appointment policies

Optional Sections

1. Risk Assessment: Additional assessment section for clients presenting with potential risk factors - used when working with high-risk clients or required by insurance

2. Parent/Guardian Consent: Additional authorization section for treating minors or those lacking capacity - used when client is under 18 or lacks mental capacity

3. Insurance Information: Section for health insurance coverage details - used when accepting insurance payments

Suggested Schedules

1. Privacy Notice: Detailed GDPR-compliant privacy information

2. Client Rights and Responsibilities: Detailed explanation of therapy relationship expectations

3. Crisis Support Information: Emergency contact numbers and resources

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses

























Industries

UK GDPR and Data Protection Act 2018: Primary legislation governing the collection, processing, and storage of personal and sensitive health data. Essential for therapy intake forms as they collect sensitive personal information.

Mental Health Act 1983 (amended 2007): Provides the legal framework for mental health treatment and patient rights in England and Wales. Relevant for understanding the legal context of therapeutic services.

Health and Social Care Act 2012: Legislation covering general healthcare provision and standards in England and Wales. Sets out requirements for healthcare service delivery.

Mental Capacity Act 2005: Legislation governing consent and capacity issues. Critical for ensuring clients have the capacity to consent to therapy and understand the treatment process.

Professional Standards Guidelines: Including BACP Ethical Framework, UKCP Code of Ethics, and HCPC Standards. These provide professional guidelines for therapeutic practice and documentation.

Equality Act 2010: Ensures non-discriminatory practices and reasonable accommodations in service provision. Must be considered in form design and service accessibility.

Consumer Rights Act 2015: Relevant for private practice therapy services, establishing consumer rights and service provider obligations in therapeutic relationships.

Common Law Duty of Confidentiality: Legal principle protecting client information and privacy. Essential for establishing confidentiality terms in therapy documentation.

Children Act 1989: Crucial when working with minors, covering safeguarding responsibilities and parental consent requirements in therapeutic contexts.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Vendor Rebate Agreement

find out more

Vendor Management Risk Assessment

find out more

Vendor Managed Inventory Agreement

find out more

Vendor Invoice

find out more

Vendor Confidentiality Agreement

find out more

Vending Machine Placement Agreement

find out more

Vehicle Service Invoice

find out more

Vehicle Sale Receipt

find out more

Vehicle Receipt

find out more

Vehicle Loan Agreement

find out more

Vehicle Hire Purchase Agreement

find out more

Vehicle Deed Of Sale

find out more

Vehicle Consignment Form

find out more

Vehicle Accident Release Of Liability Form

find out more

Vat Declaration Form

find out more

Values Based Performance Review

find out more

Vacation Rental Property Management Contract

find out more

User Licence

find out more

User Agreement Contract

find out more

Used Car Sales Invoice

find out more

Used Car Sales Contract

find out more

Used Car Purchase Contract

find out more

Used Car Buying Contract

find out more

Usage Agreement

find out more

Upward Evaluation

find out more

Unsuccessful Interview Feedback

find out more

Unsecured Promissory Note

find out more

Unsecured Loan Contract

find out more

Unsecured Directors Loan Agreement

find out more

Unregulated Credit Agreement

find out more

Unregistered Agreement To Sell With Possession

find out more

Unilateral Deed Of Sale

find out more

White Label SaaS Agreement

find out more

White Label Reseller Agreement

find out more

White Label Contract

find out more

Wedding Venue Cancellation Letter

find out more

Website Scope Of Work

find out more

Website Purchase Agreement

find out more

Website Development Contract Terms And Conditions

find out more

Website Advertising Agreement

find out more

Web Design Contract

find out more

Waxing Consent Form

find out more

Warehouse Risk Assessment

find out more

Warehouse Lease Agreement

find out more

Warehouse Invoice

find out more

Warehouse Employee Performance Review

find out more

Waiving Non Compete Agreement

find out more

Waiver Of Liability For Use Of Premises

find out more

Waiver Of All Claims

find out more

Waiver Form

find out more

Waiver Agreement Of Purchase And Sale

find out more

Vulnerability SLA

find out more

Vouching And Tracing Audit

find out more

Volunteer Agreement Form

find out more

Voluntary Termination Letter

find out more

Voluntary Retrenchment Letter

find out more

Visitation Agreement

find out more

Videography Services Agreement

find out more

Video Recording Contract

find out more

Vexatious Complaints Policy

find out more

Vessel Bill Of Sale

find out more

Verbiage Letter Of Credit

find out more

Verbatim Minutes Of Meeting

find out more

Venue Hire Contract

find out more

Zero Balance Confirmation Letter

find out more

Youth Sports Waiver Form

find out more

Year End Self Evaluation

find out more

Written Consent Form

find out more

Written Agreement

find out more

Workplace Violence Risk Assessment

find out more

Workplace Violence And Harassment Risk Assessment

find out more

Work Study Agreement

find out more

Work Recommendation Letter For University

find out more

Work Recommendation Letter

find out more

Work Performance Review

find out more

Work Order Invoice

find out more

Work Order Acceptance Letter

find out more

Work Offer Letter

find out more

Work Liability Waiver Form

find out more

Work Level Agreement

find out more

Work Experience Recommendation Letter

find out more

Work Experience Certificate Request Letter

find out more

Work Appointment Letter

find out more

Wholesale Real Estate Contract

find out more

Wholesale Purchase Agreement

find out more

Unilateral Deed Of Absolute Sale

find out more

Underwriter Mortgage Letter Of Explanation

find out more

Undertaking Letter For Commission Payment

find out more

Under Licence Agreement

find out more

Unanimous Written Consent

find out more

Unaccompanied Minor Travel Consent Form

find out more

Typical Bill Of Sale

find out more

Trust Deed And Note

find out more

Truck Repair Invoice

find out more

Tripartite Settlement Agreement

find out more

Tripartite Novation Agreement

find out more

Tripartite Loan Agreement

find out more

Tripartite Agreement For Third Party Payment

find out more

Travel Risk Assessment

find out more

Travel Receipt

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research
Oops! Something went wrong while submitting the form.

³Ò±ð²Ô¾±±ð’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.