Mental Health Treatment Consent Form

Asks about therapist or provider name, type of treatment, and confidentiality limits acknowledged. Built for onboarding new therapy or counseling patients with informed consent.

Questions
11
Pages
2
Time
about 3 min

Includes

  • E-signature
  • Consent agreement
  • Emergency contact

Your practice

Mental Health Treatment Consent Form

Page 1 of 2 · Your information

Emergency Contact

Live preview. Tap through it like a patient.

Who it is for

  • Onboarding new therapy or counseling patients with informed consent
  • Documenting confidentiality limits and mandatory reporting obligations
  • Establishing session expectations and cancellation policies
  • Meeting licensing board requirements for mental health informed consent

Formisoft for Mental Health

What's inside

Before you publish: Add your practice-approved consent wording before publishing.

Page 1 · Your information

  1. Patient Full NameText · Required
  2. Date of BirthDate
  3. Therapist or Provider NameText
  4. Type of TreatmentLong Text
  5. Confidentiality Limits AcknowledgedLong Text

Page 2 · Additional details

  1. Emergency Contact PhonePhone
  2. Cancellation Policy AcknowledgedLong Text
  3. Consent to TreatmentConsent Agreement
  4. Patient SignatureE-Signature
  5. Date of ConsentDate

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 Treatment Consent 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.

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 11 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 Treatment Consent Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk