Free Mental Health Intake Form Template

# Mental Health Intake Form

**Client:** {{clientName}}
**Therapist:** {{therapistName}}
**Date:** {{date}}

## Presenting Concerns

{{concerns}}

## History

{{relevantHistory}}

## Treatment Goals

{{goals}}

## Confidentiality

{{confidentialityTerms}}

## Consent to Treatment

I consent to participate in therapy and understand the terms above.

curl -X POST https://signb.ee/api/send \
  -H "Authorization: Bearer YOUR_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "content": "YOUR_RENDERED_MARKDOWN",
    "senderName": "Your Name",
    "senderEmail": "you@company.com",
    "recipientName": "Recipient",
    "recipientEmail": "recipient@email.com"
  }'