Health & Medicine

Psychological Intake Form

Covers a typical Swiss intake package for psychological and psychotherapeutic first appointments, including insurance details, physician referral context, clinical self-report, and explicit privacy consent.

No credit card required · Start free

Included fields

  • Registration details
  • Insurance and referral
  • Reason for visit
  • History
  • Screening and goals
  • Consent

Why Formsly instead of Google Forms?

Privacy-compliant forms without compromise for teams that take data protection seriously.

Privacy compliant

Hosting in Switzerland. No third-party data sharing.

End-to-end encryption

Optional: only you can read the responses.

Live in minutes

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Custom domain

Embed forms under your own URL.

FeatureFormslyGoogle Forms
Hosting in Switzerland / EUYesNo
Privacy compliantYesNo
End-to-end encryptionYesNo
Custom domain / white-labelYesNo
Webhooks & APIYesNo
Notification emailsYesYes

Use Psychological Intake Form now

Ready in minutes. Start free, no credit card required.