Music Therapy Intake Form

$5.00

Includes:

  • One-page intake form

Population: Therapists, caregivers, or clients who are completing an intake for music therapy services

Goal: To organize and simplify the intake and referral process

Description: This intake form is a one-page document with specific prompts to assist in the process of gathering information regarding new clients. Sections on the form include: reason for referral, basic demographics, preferred activities, and music experiences. Depending on the business, facility, and therapist preference, this form can serve as the sole intake document or accompany a written report. The form may also be used in tandem with our "Music Therapy Assessment Form for an Individual Client" under the documentation section of our website.

Includes:

  • One-page intake form

Population: Therapists, caregivers, or clients who are completing an intake for music therapy services

Goal: To organize and simplify the intake and referral process

Description: This intake form is a one-page document with specific prompts to assist in the process of gathering information regarding new clients. Sections on the form include: reason for referral, basic demographics, preferred activities, and music experiences. Depending on the business, facility, and therapist preference, this form can serve as the sole intake document or accompany a written report. The form may also be used in tandem with our "Music Therapy Assessment Form for an Individual Client" under the documentation section of our website.