An intake assessment typically includes questions about a patient's personal and medical history, current concerns and symptoms, family history of mental illness, substance use, and demographic information.

Psychiatry Intake Form
Get access to a free Psychiatry Intake Form to streamline the process of gathering important information from patients. Download the PDF and example here.
Use Template
Psychiatry Intake Form Template
Commonly asked questions
We have a library of customizable intake forms that you can use for your practice. You can also create your own intake form by modifying a pre-existing form or starting from scratch.
A patient can fill out an intake form either before or during their first appointment with you. This lets you better understand their background and concerns, making the session more efficient and effective.
EHR and practice management software
Get started for free
*No credit card required
Free
$0/usd
Unlimited clients
Telehealth
1GB of storage
Client portal text
Automated billing and online payments










