Client intake form template preview

Client intake form

A client intake form is a document used by businesses or service providers to gather important information from clients who are interested in using their services or products. The form typically includes questions about the client's personal information, background, needs, and goals for using the service or product. By filling out a client intake form, clients provide businesses with the necessary information to understand their situation and tailor their services to better meet their needs.

Customize in minutes

Drag and drop 40+ customizable question types to make this template your own.
Scheduling
Calendly, Chili Piper, cal.com
Social security input
Securely collect PII
Email addresses
Work or personal
Scheduling
Calendly, Chili Piper, cal.com
Social security input
Securely collect PII
Email addresses
Work or personal
Scheduling
Calendly, Chili Piper, cal.com
Social security input
Securely collect PII
Email addresses
Work or personal
E-signatures
Legally binding signatures
Mailing addess input
Autocomplete with the Google Maps API
Stripe payments
Seamlessly charge users
File uploads
Every file type
E-signatures
Legally binding signatures
Mailing addess input
Autocomplete with the Google Maps API
Stripe payments
Seamlessly charge users
File uploads
Every file type
E-signatures
Legally binding signatures
Mailing addess input
Autocomplete with the Google Maps API
Stripe payments
Seamlessly charge users
File uploads
Every file type
Collect phone numbers
Domestic or international
Captcha
Verify human respondents
Terms & Conditions
Upload a PDF to approve
Collect phone numbers
Domestic or international
Captcha
Verify human respondents
Terms & Conditions
Upload a PDF to approve
Collect phone numbers
Domestic or international
Captcha
Verify human respondents
Terms & Conditions
Upload a PDF to approve

Connect to
notion logo
Notion

Send responses wherever you need them, in 60 seconds:

1Clone this template.
2Connect your integration in Fillout.
3Share a link or embed forms anywhere ⚡️

Related templates

Make your first form in minutes

Start from the Client intake form template or make a form from scratch.
Free for up to 1000 submissions per month.