Client Wellbeing Goals & Readiness Intake

Editable client wellbeing goals & readiness intake template with online review plus licensed PDF, Word, and print tools after purchase.

For Mental Health Coaches (Non-Clinical) · Intake Form · CA$5

Capture goals, routines, supports, challenges, relevant care information shared, expectations, and referral contacts.

Included editable fields

  • Mental Health Coach
  • Client / Customer / Authorized Party
  • Coaching Format / Location
  • Wellbeing Goals
  • Coaching Period
  • Session Schedule
  • Licensed Care Providers
  • Crisis / Emergency Contacts
  • Intake Date
  • Service / Job Location
  • Job / Service Type
  • Scope / Purpose
  • Client Instructions / Prior History
  • Client Responsibilities
  • Pre-Start Confirmations
  • Known Risks & Disclosures
  • Limitations & Exclusions
  • Information Authorization / Acknowledgement
  • Intake Checklist
  • Follow-Up / Outcome
  • Record Timestamp