Standard Intake Questionnaire TemplateAI Template IconToolbar IconShare Icon

Standard Intake Questionnaire Template

Access our Standard Intake Questionnaire Template to enhance the initial touchpoint with patients in their healthcare process.

Chloe Smith avatar

By Chloe Smith on Aug 2, 2025.

Fact Checked by Gale Alagos.

Use Template

Standard Intake Questionnaire Template Template

Download PDF Template

Commonly asked questions

An intake form is designed to collect essential personal, medical, and lifestyle information from patients at the beginning of their healthcare journey. It helps healthcare providers comprehensively understand the patient's health history and current status, enabling tailored and efficient care planning.

A good intake questionnaire is concise yet comprehensive, easy to understand, and covers all necessary health aspects, including personal details, medical history, medications, allergies, lifestyle habits, and mental health. It is also sensitive to patient privacy and complies with healthcare regulations.

The time to complete an intake questionnaire can vary, but it takes about 15 to 30 minutes on average. The length and time can depend on the complexity of the patient's health history and the thoroughness of the questionnaire.

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