Therapist Client Intake Form
Shareable intake form for therapists and counselors — collect new-client details, concerns and availability in one private dashboard before the first session.
Whether you field enquiries from Instagram, a flyer or word of mouth, Therapist Client Intake Form turns every interested person into a logged intake — no missed DMs, no copy-pasting details into a spreadsheet. It's the fastest free way to take intakes online and follow up before your competitors do.
About Therapist Client Intake Form
Therapist Client Intake Form is a free, no-sign-up tool that gives you a shareable link for collecting intakes online — no website or CRM software needed. Drop the link in your Instagram bio, on your website or behind a QR code, and every intake lands in a private dashboard only you can open, with one-click CSV export.
How to use Therapist Client Intake Form
- 1Enter your business name and tap "Create my shareable link" — you instantly get a public link to share and a private dashboard link to keep.
- 2Share the public link wherever your clients already are: social bios, WhatsApp, email signatures or a printed QR code.
- 3Clients open the link and send you a intake in seconds — nothing to download, no account to make.
- 4Open your private dashboard any time to read every intake and export the full list to CSV.
Why use Therapist Client Intake Form?
- ✓100% free — no sign-up, no credit card, and no limit on how many intakes you receive
- ✓Works on any phone, tablet or computer — clients need no app or account
- ✓Submissions stay private: only your secret dashboard link can read them, and search engines never index them
- ✓Export every lead to CSV for your own spreadsheet or CRM
- ✓Collects full name, email, phone, date of birth and more in one clean, mobile-friendly form
Frequently asked questions
Is Therapist Client Intake Form free?+
Yes — it's completely free with no sign-up, no credit card and no limit on how many intakes you can receive.
Do my clients need to install an app or create an account?+
No. They just open your link, fill in a short form and tap submit. It works in any browser on any device.
Where do I see the intakes people send me?+
When you create your link you also get a private dashboard link. Bookmark it — it lists every intake with a timestamp and lets you export them all to CSV. Keep this link secret; it's the key to your inbox.
Is my data private and secure?+
Yes. Submissions are stored securely and can only be read through your secret dashboard link. They are never shown publicly and search engines cannot index them.
Can I put the link in my Instagram bio or a QR code?+
Absolutely — that's exactly what it's for. Paste it into your bio, link-in-bio page or a website button, or turn it into a QR code for flyers and signage.
What happens after someone sends a intake?+
It appears instantly in your dashboard with the date and time. You then follow up with the client however you like — a call, text or email.
Embed Therapist Client Intake Form on your website
Want Therapist Client Intake Formon your own site? Paste this snippet into any HTML page — it's free, with no API key or sign-up. The tool loads in an iframe and keeps working exactly as it does here.
<iframe src="https://tooljolt.com/tools/therapist-intake-form" width="100%" height="640" style="border:1px solid #e5e7eb;border-radius:12px;max-width:680px" title="Therapist Client Intake Form — ToolJolt" loading="lazy"></iframe>Related Verticals tools
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