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Case Management Form Template

Streamline Your Case Handling Process with This Essential Template

Handling numerous cases can feel overwhelming when you lack a systematic way to track important details. This case management form template helps legal professionals, social workers, and case managers organize key information efficiently. By using this template, you can enhance your record-keeping, ensure all case data is accessible, and streamline communication across your team, enabling you to focus on delivering better outcomes for your clients. Explore the live template for an easy start on optimizing your case management process.

Full legal name
Date of birth
Gender identity
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Email address
Phone number
Residential address
Preferred contact method
Phone
Email
Text message
No preference
Referral date
Referral source
Please Specify:
Reason for referral
Primary issue areas
Please Specify:
Brief case description
Risk factors present
Areas where support is needed
Please Specify:
Barriers to participation
Please Specify:
Services requested
Please Specify:
Is it okay for us to contact you about your case?
Yes
No
Do you consent to the storage and processing of your personal data for case management purposes?
Yes
No
If authorizing, list specific agencies or contacts
Client acknowledgement full name
Acknowledgement date
Authorization to share information with partner agencies
Yes - with named agencies only
Yes - with any partner agency as needed
No
Preferred appointment type
In person
Phone
Video
No preference
Assigned case manager
Case opened date
Current case status
New
In assessment
Active
On hold
Closed
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Paper art illustration featuring a case management form template with design elements related to FormCreatorAI

When to use this form

Use this form when you need to organize services, track progress, and coordinate tasks for a client or family. It helps social workers, coordinators, school counselors, and legal teams set a clear plan with timelines and owners. Use it after an initial screening or alongside a Client intake form to capture goals, barriers, and next steps in one place. It also fits health, mental health, and recovery programs; for injury or insurance matters, you can reference details from a Personal injury intake form. The result: a shared plan you can update, report on, and hand off without losing context.

Must Ask Case Management Questions

  1. What is the client's primary goal and desired outcome for the next 90 days?

    A clear, time-bound goal keeps your plan focused and measurable. It helps you prioritize services and show progress to funders and supervisors.

  2. What risks, safety concerns, or mandated reporting issues exist today?

    Documenting risks early guides safety planning and triage. If family dynamics are involved, the Family therapy intake form can surface history that shapes your approach.

  3. Which services, providers, or supports are already in place, and how often?

    Knowing the current network prevents gaps and overlap. You can pull provider details from a Psychology intake form to coordinate care.

  4. What deadlines, court dates, or benefit renewals could affect the plan?

    Deadlines drive tasks and reminders so nothing lapses. This reduces service interruption and strengthens compliance.

  5. How do you prefer to communicate and who is authorized to receive updates?

    Stating preferences and consent reduces missed contacts and protects privacy. It ensures you share updates only with approved parties across agencies.

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