Couples Therapy Intake Form Template
Streamline your therapy sessions with our easy intake form
Starting therapy can feel overwhelming, especially for couples navigating challenges together. This intake form template is designed to help therapists gather essential information, fostering better communication and understanding between partners right from the start. You'll benefit from structured questions that uncover relationship dynamics, identify goals for therapy, and streamline the initial assessment process, making it easier for you to focus on healing and growth. Feel free to explore the live template and see its benefits for yourself.
When to use this form
Use this intake when two partners are starting counseling and you need clear background before session one. It works for private practices, group clinics, and telehealth. Send it after booking or when you move from individual to joint work. It captures relationship history, goals, risks, and logistics so you can triage, match the right clinician, and prepare a first-session plan. If you also assess each partner individually, pair it with the Psychotherapy intake form or the Psychology intake form to gather personal history. For workshops or multi-couple classes, start with the Intake form for group sessions new client form. With the essentials in one place, you reduce back-and-forth and begin treatment focused on outcomes.
Must Ask Couples Therapy Intake Questions
- What is your relationship status, and how long have you been together?
This frames the stage of your relationship and sets expectations for pace and focus. Duration and commitment level influence goals, boundaries, and interventions.
- What are the main concerns bringing you to therapy, and what outcomes do you want?
Naming problems and desired results helps you align as a couple and gives the therapist clear targets. Shared goals reduce drift and make progress measurable.
- Do either of you have a history of mental health diagnoses, medications, substance use, or prior counseling?
This context informs safety, medication coordination, and treatment planning. It also alerts your therapist to triggers that could affect joint sessions.
- How do conflicts usually start, and what do you do to de-escalate?
Knowing patterns and repair attempts reveals skills you have and gaps to address. It guides choice of interventions and homework that fit your style.
- Are there any current or past concerns about emotional, physical, or sexual violence, coercion, or safety?
Safety dictates structure, pacing, and whether joint sessions are appropriate. Clear screening supports mandatory reporting, crisis plans, and referrals if needed.
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