formisoft

Mental Health Intake Form

Asks about reason for seeking treatment, how have you been feeling recently, and tell us about any worries or anxiety. Built for therapists and licensed counselors.

Questions
13
Pages
2
Time
about 3 min

Includes

  • Consent agreement
  • Medication list
  • Emergency contact
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Your practice

Mental Health Intake Form

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Therapists and licensed counselors
  • Psychiatry and behavioral health practices
  • Community mental health centers
  • Employee assistance programs (EAP)

Formisoft for Mental Health

What's inside

Page 1 · Your information

  1. Full NameText · Required
  2. Phone NumberPhone
  3. Email AddressEmail
  4. Reason for Seeking TreatmentLong Text
  5. How have you been feeling recently?Long Text

Page 2 · Additional details

  1. Current Medications (Psychiatric)Medications
  2. Substance Use HistoryLong Text
  3. Safety AssessmentLong Text
  4. Treatment GoalsLong Text
  5. Emergency ContactEmergency Contact

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Mental Health Intake Form, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 13 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Mental Health Intake Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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