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Intake Form
I need an intake form for new clients at a mental health clinic, capturing personal details, medical history, current medications, and consent for treatment. The form should be easy to fill out, with clear instructions and space for additional notes.
What is an Intake Form?
An Intake Form helps organisations collect essential information when someone first engages their services. Healthcare providers, law firms, and social services across Australia use these forms to gather key details about new clients, including contact information, medical history, or legal concerns.
This initial paperwork creates a foundation for service delivery and helps meet regulatory requirements under Australian privacy laws and industry standards. Good intake forms balance gathering necessary data with respecting privacy, making them crucial tools for both client care and compliance. They also help staff assess client needs and identify any immediate risks or special requirements.
When should you use an Intake Form?
Use an Intake Form whenever you start working with a new client or patient in Australia. This applies especially to medical practices, law firms, counselling services, and government assistance programs where collecting accurate initial information is crucial for proper service delivery.
Deploy these forms during first consultations, referrals, or when transitioning clients between service providers. They're particularly important when dealing with sensitive personal information covered by the Privacy Act, or when providing services that require detailed background knowledge for compliance with professional standards. Having clients complete intake forms before their first appointment also helps streamline the initial consultation process.
What are the different types of Intake Form?
- Patient Intake Form: Gathers medical history, symptoms, and emergency contacts for healthcare providers
- Therapy Intake Form: Focuses on mental health history, current concerns, and treatment goals
- Accounting Client Intake Form: Collects financial details, business structure, and tax compliance information
- Massage Client Intake Form: Records physical conditions, injuries, and treatment preferences
- Client Intake Form: General-purpose template adaptable for various professional services
Who should typically use an Intake Form?
- Healthcare Providers: Use Intake Forms to collect patient information, medical history, and consent for treatment under Australian healthcare regulations
- Legal Practitioners: Gather client details, case information, and conflict checks for new matters
- Mental Health Professionals: Document client history, symptoms, and treatment goals while meeting privacy requirements
- Administrative Staff: Process and manage completed forms, ensuring proper data entry and storage
- Clients/Patients: Complete forms with personal information, history, and current needs before receiving services
- Compliance Officers: Review forms to ensure they meet industry standards and privacy laws
How do you write an Intake Form?
- Service Scope: Define exactly what information you need to collect based on your industry requirements and client needs
- Privacy Compliance: Review Australian Privacy Principles to ensure your form meets data collection standards
- Basic Details: Include client contact information, emergency contacts, and relevant identification fields
- Industry Specifics: Add sections for medical history, legal matters, or service-specific requirements
- Consent Sections: Create clear statements about how collected information will be used and stored
- Format Check: Ensure the form is accessible, easy to complete, and includes signature spaces
- Digital Integration: Consider how the form will work with your existing systems and record-keeping
What should be included in an Intake Form?
- Personal Information Notice: Clear statement about data collection purposes under the Privacy Act 1988
- Consent Declaration: Client agreement for information collection and use, including third-party sharing
- Identity Verification: Fields for legal name, date of birth, and relevant identification numbers
- Privacy Statement: Explanation of data storage, security measures, and access rights
- Medical Disclaimers: Health-related liability limitations and emergency procedures where applicable
- Service Terms: Clear outline of service scope and client expectations
- Signature Block: Date, client signature, and witness sections if required
- Record Keeping: Information about form retention and destruction policies
What's the difference between an Intake Form and a Release of Information Form?
While Intake Forms and Release of Information Forms might seem similar, they serve distinct purposes in Australian professional settings. Intake Forms focus on collecting initial client information, while Release forms specifically authorize information sharing with third parties.
- Purpose and Timing: Intake Forms gather comprehensive information at the start of a service relationship, while Release forms are used later when specific information needs to be shared
- Legal Scope: Intake Forms establish basic service parameters and collect essential data, while Release forms create specific legal permissions for information sharing under Privacy Act requirements
- Duration: Intake Forms remain active throughout the service relationship, while Release forms typically apply to specific information requests or time periods
- Content Focus: Intake Forms cover broad background information, while Release forms detail exactly what information can be shared and with whom
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