Free Therapy Booking Form

Please fill out the form below to schedule your therapy session.
Name
Phone number
Appointment Date
Appointment Time
Therapy Type
Cognitive Behavioral Therapy (CBT)
Psychodynamic Therapy
Family Therapy
Couples Therapy
Trauma Therapy
Grief Therapy
Art Therapy
Session Format
In-Person
Virtual Meeting
Phone Consultation
Select Duration
30 Minutes
45 Minutes
60 Minutes
90 Minutes
Are you taking any medications?
Do you have any diagnosed mental health conditions?
Do you have any physical conditions or disabilities that we should be aware of?
Emergency Contact Information
Name
Phone number
Relationship
Cancellation Policy
Please note that cancellations or rescheduling must be made at least 24 hours in advance. Failure to cancel within this time frame may result in a cancellation fee.
Client Consent
By signing below, I acknowledge that all information provided is accurate and I consent to participating in therapy sessions based on the details provided.
Name:
Date:
Booking Form Templates @ Template.net
Thank you for booking with us!
We look forward to serving you.
Create free forms at Template.net
- 100% Customizable, free editor
- Access 1 Million+ Templates, photo’s & graphics
- Download or share as a template
- Click and replace photos, graphics, text, backgrounds
- Resize, crop, AI write & more
- Access advanced editor
Easily schedule therapy sessions with Template.net's customizable Therapy Booking Form Template. This editable form simplifies appointment management, helping you organize client bookings, therapy details, and preferred schedules. With our AI Editor Tool, you can quickly personalize the form to fit your practice's unique requirements. Ensure a smooth booking process with this fully customizable template today!