Client Identifiers
Full legal name, preferred name, date of birth, and government ID when required; accurate identifiers prevent mismatches across records and billing systems.
Intake forms ensure consistent data capture, create an auditable record of consent and disclosures, and help manage risk. Electronic execution and storage are legally recognized under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most jurisdictions, subject to industry exceptions.
Intake forms are completed by a mix of professionals depending on setting; responsibilities vary with employer policy and client capacity.
Supervisors, legal representatives, or guardians may sign on behalf of clients when permitted; settings should record authority and retain supporting documentation.
Full legal name, preferred name, date of birth, and government ID when required; accurate identifiers prevent mismatches across records and billing systems.
Current address, phone, email, and emergency contact information with relationship and consent to contact for care coordination and safety notifications.
Brief summary of symptoms, duration, precipitating events, and client-stated goals to orient clinical evaluation and triage urgency.
Structured items for suicide ideation, harm to others, child or elder abuse flags, and steps taken; guides immediate safeguarding and mandated reporting.
Informed consent language, HIPAA-related acknowledgements for health data, and releases for information sharing with explicit scope and expiration.
Initial service recommendations, referrals, appointment scheduling details, and responsible staff for follow-up and case assignment.
| Field | Configuration |
|---|---|
| Notifications | Email and SMS alerts to staff and client |
| Authentication | Email code, SMS OTP, or stronger MFA |
| Template | Save reusable template with conditional fields |
| Storage | Encrypted cloud storage with role access |
Ensure the platform supports required formats, access controls, and audit trails before accepting electronic intakes.
Choose a platform offering secure storage, granular user roles, and detailed audit logs to meet clinical and legal obligations.
Make first client contact within 24–72 hours when possible
Finish full intake and risk screening within seven calendar days
Report suspected abuse immediately per state law
Schedule clinical follow-up within 14 days for nonurgent needs
Apply retention policy immediately upon case closure
A clinic uses a standardized electronic intake to capture presenting symptoms and suicide risk screening
A school collects guardian consent and educational history online before the first meeting
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | Varies |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA) | Yes (BAA) | Yes (BAA) | No | No |