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Client Intake Form Template

Universal client intake form template for service businesses. Collects contact info, service preferences, referral source, and relevant background information.

Last updated: April 2026

Researched by the CheckinPulse Research Team

Use This Form Digitally

Paper forms work, but digital forms work better. Here is what you get when you use this template on CheckinPulse:

  • Clients fill out on their phone (no app needed)

    Scan a QR code or tap a link — works on any device

  • E-signatures with legal timestamp

    IP address, timestamp, and audit trail on every signature — valid in all 50 states under the E-SIGN Act

  • Submissions go straight to your dashboard

    No more clipboards, filing cabinets, or illegible handwriting

  • PDF waivers stored for 7 years

    Encrypted, searchable, and accessible anytime on paid plans

Use this form digitally — free

Form Preview

This is what your clients will fill out. 13 fields, mobile-friendly.

Client Intake Form Template

All fields marked with * are required

Text
Text
Email
Phone
Date
Text
Google search
Yes — regularly
Weekdays
Email
Submit Form

Legal References

E-SIGN Act (15 U.S.C. ch. 96) — Congress.gov

The federal law that makes electronic signatures on consent forms and waivers legally equivalent to handwritten signatures in all 50 US states.

Frequently Asked Questions

Name, email, phone number, service interest, and referral source. That's the minimum. From there, add fields relevant to your industry — health history for wellness businesses, portfolio preferences for creative services, budget for consulting. Keep it under 15 fields or completion rates drop significantly.

Send it before the appointment (text or email), keep it under 3 minutes, use a mobile-friendly format, and explain why you need the info. Phrases like "so we can prepare for your visit" work better than "please complete our paperwork." Digital forms get 2-3x better completion rates than paper.

Always. It's the easiest way to track which marketing channels actually bring in paying clients. If 40% of your clients come from Instagram and 5% from Facebook, that tells you where to spend your ad budget. One field, huge insight.

Ready to go paperless?

Turn this template into a digital form your clients fill out on their phone. E-signatures, auto-saved PDFs, and a dashboard to manage everything. Free to start.

Start free — no card needed

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