Description
Create a welcoming environment for your young clients with this age-appropriate intake form. After over a decade in private practice I’ve found that children enjoy filling out this short form before each session, and it helps to keep a written record of their progress.
This template is for an 8.5×11″ sheet of paper that can be cut into quarters and clipped to a small clipboard (about 6×9″). Little hands do better with smaller items.
This form contains space for written words and a human outline for the child to circle any places of pain or discomfort.
By purchasing, you will receive a PDF with a link to edit, download or print your template on Canva. You can edit to suit your needs!

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