15-Minute Consultation Phone Screen Form
This digital consultation form is designed to help mental health professionals conduct structured and efficient 15-minute phone screenings with potential clients.
The form guides therapists through key intake areas including client information, presenting concerns, therapy history, and potential risk factors — helping determine clinical fit prior to scheduling ongoing services.
Perfect for private practice clinicians seeking a clear, organized, and professional consultation workflow.
Includes:
Client information section
Presenting concern prompts, including clinical focus areas (anxiety, depression, trauma, relationships, grief)
Therapy history overview
Risk screening section
Clean, easy-to-use layout
Format:
Digital download • 8.5 × 11 inches (Letter) • 3 pages • Printable
15-Minute Consultation Phone Screen Form
This digital consultation form is designed to help mental health professionals conduct structured and efficient 15-minute phone screenings with potential clients.
The form guides therapists through key intake areas including client information, presenting concerns, therapy history, and potential risk factors — helping determine clinical fit prior to scheduling ongoing services.
Perfect for private practice clinicians seeking a clear, organized, and professional consultation workflow.
Includes:
Client information section
Presenting concern prompts, including clinical focus areas (anxiety, depression, trauma, relationships, grief)
Therapy history overview
Risk screening section
Clean, easy-to-use layout
Format:
Digital download • 8.5 × 11 inches (Letter) • 3 pages • Printable