Simple New Client Intake Form (Canva Template)


Use this simple new client intake form to collect information from your new clients.

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Product Description

This one-page new client intake form Canva template for allied health private practices collects just the essential information from your clients, including the following:

  • General client details
  • Contact information
  • Emergency contact information
  • Referrer details
  • Medicare/Insurance

Download your free copy of this editable form and make it yours by inserting your practice details. Or use this as a guide to create your own form!

You can preview the templates here.

Please note that you’ll need to be logged into your Canva account to use this template. You can create your free account here.
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