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I need a comprehensive four-page intake form for my psychology practice. The form should be detailed and professional, covering various aspects of a client's background and current situation. Essential information to include: - Personal Information: Name, Age, Contact details, Emergency contact, Address - Medical History: Comprehensive medical history, including mental health - Education, Occupational details, Recreational activities - Substance Use: Detailed information on substance use Ideal Skills & Experience: - Experience in creating professional forms, particularly for medical or psychological contexts - Attention to detail and accuracy - Ability to present information clearly and concisely Please provide samples of similar work.
Project ID: 40660906
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Active 6 days ago
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31 freelancers are bidding on average $96 USD for this job

Hi, I’d be happy to work on “Psychology Practice Intake Form”. I’ve read through your brief and the requirements you’ve provided, and I’m confident I can handle the creative work you’re looking for. I’ve been working in graphic design and illustration for 12 years, with experience across Psychology and Editing. I have a 1,400+ review track record on Freelancer, and I’ve worked with 1,500+ clients over the course of my career. I always aim to make the process straightforward, pay attention to the brief, and deliver work that the client can actually use without unnecessary back and forth. Portfolio: https://www.freelancer.com/u/PolestarDesigns I’d love to work with you on this. Mahnoor A.
$100 USD in 3 days
5.8
5.8

Hi there, I’ve read your need for a comprehensive four-page intake form for a psychology practice, and I’m confident I can deliver a professional, accurate document aligned with clinical standards. I have experience crafting professional medical and psychological forms with clear sections on Personal Information, Medical History, Education, Occupational Details, and Substance Use, ensuring readability and data quality. Drawing on psychology and editing expertise, I ensure the form collects precise information while staying concise. I will structure the form with four pages, using logical grouping, consistent typography, field labels, and optional help text to minimize entry errors. I can provide samples of similar work on request and deliver within 2 days. Best regards, Professional Writer
$150 USD in 2 days
5.9
5.9

Ready to start now* - Delivery within 24 hours Hi There, I can do this project right now with perfectly. Kindly ping me to start your work now. Regard’s Sobha
$30 USD in 1 day
5.6
5.6

I would be pleased to create a comprehensive, professional four-page psychology practice intake form tailored to your specific needs. I will organize it clearly and professionally, covering personal and emergency contact information, address, medical and mental health history, education, employment, recreational activities, substance use, and other relevant background information, while ensuring there is adequate space for detailed client responses. I have strong experience creating structured, client-friendly documents with careful attention to accuracy, consistency, and presentation, and I will ensure the final form is suitable for both digital completion and printing. I can also provide relevant samples of similar professional form work upon request and am ready to begin immediately.
$40 USD in 2 days
5.6
5.6

Hi, I can create a professional, well-organised four-page psychology intake form covering personal information, medical and mental health history, education, employment, recreational activities, and detailed substance-use history. I’ll structure it so it is comprehensive without becoming difficult for clients to complete, with clear sections, appropriate response fields, and a clean professional layout. Kindly contact me so that we can discuss more about it. Thank you.
$40 USD in 2 days
4.3
4.3

Hello I can assist you in writing and crafting a comprehensive, professional four-page psychology practice intake form that is clear, organized, and easy for clients to complete. I understand the importance of presenting sensitive information in a professional and structured manner. I can develop sections covering personal information, emergency contacts, medical and mental health history, education, employment, recreational activities, and detailed substance-use history, while ensuring the questions are concise and logically organized. My focus will be on accuracy, consistency, professional formatting, and a client-friendly layout suitable for a psychology practice. I can also review the completed form carefully to ensure no important information areas are overlooked. Thanks Brian
$100 USD in 4 days
3.9
3.9

Hi I can surely assist you in creating and drafting a comprehensive, professional intake form for your psychology practice. I understand the importance of gathering detailed client information in a clear, organized, and confidential manner. My focus will be on designing a four-page intake form that is easy for clients to complete while providing you with the essential information needed for effective assessment and treatment planning. The form will include sections for personal information, emergency contacts, medical and mental health history, educational background, employment details, recreational activities, and substance use history. I will ensure the layout is professional, well-structured, and suitable for both digital and printed use. With strong attention to detail and experience creating professional documents, I can deliver a polished intake form that reflects the standards of your practice and supports a smooth client onboarding process. I would be happy to discuss your specific requirements and begin right away. Thanks
$30 USD in 1 day
2.2
2.2

Hello, It seems you're looking for a detailed and professional four-page intake form for your psychology practice. I can help you create a form that not only collects essential personal and medical information but also captures the nuances of a client's background and current situation, making it easier for you to understand their needs. With 8++ years of experience in developing professional forms in medical and psychological contexts, I understand the importance of clear and concise information. My approach will involve designing a user-friendly form that ensures clients feel comfortable sharing their details. I’ll focus on structuring the sections logically, with clear prompts for each area. One question I have is: are there any specific preferences or guidelines you would like me to follow in terms of the tone or style of the form? Best regards, Saad Ahmed
$140 USD in 3 days
0.0
0.0

I’ve carefully reviewed your project, Psychology Practice Intake Form, and it aligns well with my experience in Editing I can deliver a clean, efficient, and high-quality results that meets your requirements. I’m ready to start immediately and would be happy to work with you on this project. Portfolio: https://www.freelancer.com/u/alphatechca Warm regards, Sahar H.
$80 USD in 1 day
0.0
0.0

I completely understand that you want a professional four-page intake form that captures a client's personal, medical, educational, occupational, recreational, and substance-use background. I think this is a really great idea because a thoughtfully designed intake form can make the client experience much smoother and more professional. I can build the form to be comprehensive while keeping the questions clear, concise, and easy for clients to complete. Would you like the form to include additional sections for presenting concerns, treatment goals, and previous therapy experience?
$200 USD in 2 days
0.0
0.0

Choctaw, United States
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Member since Feb 23, 2026
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