Therapy Intake Note Template

Last Updated: April 2026

Intake notes document initial client information, presenting concerns, and treatment planning during the first session. A thorough intake template helps clinicians capture essential background information while establishing a foundation for treatment.

This guide provides a therapy intake note template, example, and best practices. Part of our therapy notes templates collection.

Copy-and-Paste Intake Note Template

Client Information:
Date:
Referral Source:

Presenting Concern:

History of Present Illness:

Mental Health History:

Medical History:

Social History:

Family History:

Substance Use History:

Current Medications:

Mental Status Exam:

Risk Assessment:

Client Strengths:

Client Goals for Therapy:

Clinical Assessment:

Treatment Plan:

Intake Note Example

Example Intake Note

Client: L.P.

Date: April 1, 2026

Referral Source: Primary care physician

Presenting Concerns

Client seeking therapy for anxiety that has worsened over the past six months. Reports difficulty sleeping, persistent worry about health, and avoidance of social situations. Recently started a new job which has increased stress levels.


Mental Health History

No prior therapy. Reports experiencing mild anxiety since adolescence that has not previously required treatment. Denies history of depression, psychosis, or hospitalizations.


Current Symptoms

Difficulty falling asleep (averaging 5 hours/night), racing thoughts, muscle tension, difficulty concentrating at work, avoidance of work social events, and physical symptoms including stomach distress during high-anxiety periods.


Client Goals for Therapy

Client identified three goals: (1) improve sleep quality, (2) reduce worry about health, and (3) increase comfort in social situations at work.


Risk Assessment

No suicidal ideation, homicidal ideation, or self-harm behaviors reported. No access to means concerns. Client denies substance misuse. Safety plan not indicated at this time.


Initial Clinical Assessment

Symptoms consistent with Generalized Anxiety Disorder with social anxiety features. Onset correlated with occupational transition. Client demonstrates good insight and motivation for treatment.


Preliminary Treatment Plan

CBT-based treatment targeting anxiety management. Begin with psychoeducation and cognitive restructuring. Introduce sleep hygiene strategies. Consider graded exposure for social situations. Weekly sessions recommended. Reassess progress at 6 weeks.

Why Intake Notes Are Important

  • Establish a clinical baseline for treatment

  • Identify risk factors and safety concerns early

  • Guide treatment planning and goal-setting

  • Improve continuity of care across providers

  • Document presenting concerns and history for the clinical record

  • Support insurance authorization and medical necessity

Who Should Use This Template

  • Therapists conducting initial assessments

  • Counselors starting with new clients

  • Psychologists in private practice

  • Behavioral health intake coordinators

  • Social workers in clinical settings

  • Psychiatric providers

When to Use an Intake Note Template

  • First therapy session with a new client

  • Initial consultation or assessment

  • When a client transfers from another provider

  • When resuming treatment after a significant gap

  • Psychiatric intake evaluations

What to Include in Intake Notes

  • Presenting concerns and reason for seeking therapy

  • Mental health and treatment history

  • Medical history and current medications

  • Family and social history

  • Current symptoms and functional impact

  • Substance use history

  • Client goals for therapy

  • Risk assessment

  • Initial clinical assessment and diagnostic impressions

  • Preliminary treatment plan

Best Practices for Intake Notes

  • Be thorough but organized — use a consistent template

  • Document client goals in their own words where possible

  • Complete risk assessment documentation

  • Include enough history for treatment planning

  • Note referral source and reason for seeking treatment

  • Write intake notes promptly after the initial session

Common Intake Note Mistakes

  • Missing client goals for therapy

  • Incomplete mental health or medical history

  • No risk assessment documentation

  • Missing or vague treatment plan

  • Not documenting referral source

  • Delaying intake documentation

Related Templates

Therapy Notes Templates (All Formats)Therapy Progress Note TemplateTherapy Session Notes TemplateSOAP Notes TemplateDAP Notes TemplateBIRP Notes TemplateMental Health Progress Note Template

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Frequently Asked Questions

A therapy intake note documents initial client information gathered during the first session, including presenting concerns, relevant history, current symptoms, treatment goals, and an initial assessment and treatment plan.

Intake notes should include presenting concerns, relevant personal and mental health history, current symptoms, client goals for therapy, an initial clinical assessment, and a preliminary treatment plan.

Intake notes should be completed during or immediately after the initial consultation or first therapy session. Writing promptly ensures accuracy and thoroughness.

Yes. Intake notes are written at the start of treatment and capture comprehensive background information. Progress notes are written after each subsequent session and track ongoing treatment. Intake notes are typically more detailed.

Many clinical settings require a mental status exam as part of the intake assessment. This includes observations about appearance, behavior, mood, affect, thought process, cognition, and judgment.

Intake notes are typically more comprehensive than progress notes and may take 15-30 minutes to complete. Using a structured template helps ensure thoroughness while reducing documentation time.

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Templates are provided for educational purposes. Always follow your organization's documentation requirements.