This couples therapy intake form template is designed for therapists, counselors, psychologists, and social workers who need a clear way to gather information from both partners before treatment starts. It creates a consistent intake process that helps you prepare for the first session with more context and fewer follow-up questions.
The form includes core details for each partner such as name, email address, phone number, date of birth, and preferred pronouns, along with space for the broader personal and relationship information that usually belongs in a client intake form. That makes it useful for practices that want to understand communication patterns, current concerns, mental health history, and other background factors early in the process.
If you are comparing options for the best form builder for wordpress, this template gives you a strong starting point for a therapy-focused intake workflow. It is specific enough for couples counseling while still being flexible enough to adapt for different practice styles, intake policies, and privacy requirements.
