Wellness Intake Form Template for Australia

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Wellness Intake Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Wellness Intake Form

"I need a Wellness Intake Form for my new holistic healing center opening in Brisbane in March 2025, focusing on alternative therapies and meditation services, with extra emphasis on mental health history and stress management assessment."

What is a Wellness Intake Form?

The Wellness Intake Form serves as an essential initial document for establishing a professional relationship between wellness service providers and their clients in Australia. This comprehensive form is designed to collect vital information about clients' health status, medical history, lifestyle factors, and wellness goals, while ensuring compliance with Australian privacy laws and healthcare regulations. The form is typically used before commencing any wellness services and includes sections for personal information, emergency contacts, medical history, and necessary consents. It helps providers assess client needs, identify potential risks, and maintain accurate records as required by Australian law. The document can be customized based on specific services offered while maintaining core compliance requirements.

What sections should be included in a Wellness Intake Form?

1. Personal Information: Basic client details including name, date of birth, contact information, and preferred contact method

2. Emergency Contact Details: Name, relationship, and contact information for emergency contacts

3. Medical History: Current and past medical conditions, surgeries, medications, and allergies

4. Lifestyle Information: General lifestyle factors including exercise habits, sleep patterns, stress levels, and dietary preferences

5. Goals and Expectations: Client's wellness goals and expected outcomes from the services

6. Privacy Statement: Information about how personal data will be collected, used, and protected in accordance with the Privacy Act 1988

7. Consent Declaration: Client's acknowledgment and consent for services, data collection, and information sharing

8. Signature Block: Space for client signature, date, and witness signature if required

What sections are optional to include in a Wellness Intake Form?

1. Pregnancy Information: Section for relevant pregnancy-related information, used when offering services to pregnant women

2. Physical Activity Readiness: Questionnaire to assess fitness for physical activities, used when offering exercise-related services

3. Nutritional Assessment: Detailed dietary information and nutritional concerns, used when offering nutrition-related services

4. Mental Health History: Information about mental health conditions and treatments, used when offering mental wellness services

5. Pain Assessment: Detailed pain location and intensity information, used when offering pain management or massage services

6. Insurance Information: Health insurance and claims details, used when services may be covered by insurance

What schedules should be included in a Wellness Intake Form?

1. Schedule A - Terms and Conditions: Detailed terms of service, cancellation policies, and liability limitations

2. Schedule B - Privacy Policy: Detailed privacy policy and information handling procedures

3. Schedule C - Risk Disclosure: Comprehensive list of potential risks associated with wellness services

4. Appendix 1 - Medical Clearance Form: Template for medical practitioner clearance if required

5. Appendix 2 - Body Assessment Chart: Visual aid for marking areas of concern or treatment

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Wellness and Fitness

Alternative Medicine

Physical Therapy

Mental Health

Nutritional Services

Spa and Massage Services

Corporate Wellness

Sports and Recreation

Complementary Medicine

Relevant Teams

Legal

Compliance

Client Services

Operations

Health Services

Wellness Programs

Administrative Support

Quality Assurance

Front Desk

Records Management

Relevant Roles

Wellness Coach

Personal Trainer

Nutritionist

Massage Therapist

Physiotherapist

Naturopath

Health Services Manager

Wellness Program Coordinator

Fitness Instructor

Mental Health Counselor

Yoga Instructor

Practice Manager

Compliance Officer

Client Services Coordinator

Wellness Center Director

Find the exact document you need

Massage Client History Form

An Australian-compliant massage therapy client intake and health history form for collecting essential client information and consent.

How Genie AI reduced drafting time by 75% for a legal firm

Let's create your Wellness Intake Form

What is a Wellness Intake Form?

What sections should be included in a Wellness Intake Form?

What sections are optional to include in a Wellness Intake Form?

What schedules should be included in a Wellness Intake Form?

Authors

Alex Denne

Find the exact document you need

Massage Client History Form

Contact Intake Form

Business Intake Form

Digital Massage Intake Form

Work Intake Form

Reflexology Intake Form

Counseling Intake Interview Form

Computer Repair Intake Form

Yoga Intake Form

Naturopathic Intake Form

Event Intake Form

Chiropractic Patient Intake Form

Consulting Client Intake Form

Legal Intake Form

Physical Therapy Intake Form

General Client Intake Form

Marketing Intake Form

Event Planning Client Intake Form

Nutrition Intake Form

Project Intake Form

Accounting Client Intake Form

Therapy Intake Form

Real Estate Client Intake Form

Phone Intake Form

Marketing Client Intake Form

Initial Intake Form

Aromatherapy Client Intake Form

Creative Project Intake Form

Veterinary Intake Form

Massage Consent Form

Virtual Assistant Intake Form

Massage Client Intake Form

Hypnotherapy Client Intake Form

Home Care Intake Form

Catering Intake Form

Referral Intake Form

Biopsychosocial Intake Form

Wellness Intake Form

Vehicle Intake Form

Real Estate Buyer Intake Form

Marriage Counseling Intake Form

Financial Intake Form

Case Management Intake Form

Order Intake Form

Salon Client Intake Form

Esthetician Client Intake Form

Client Intake Form

Lead Intake Form

Employment Intake Form

Vendor Intake Form

Intake Assessment Form

Clinical Intake Form

Procurement Intake Form

Patient Intake Form

Download our whitepaper on the future of AI in Legal

Genie’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

Want to know more?

Commercial

Employment

IP

Administration

Finance

R&D

Use Cases