Intake Form Template for Switzerland

A comprehensive intake form designed in compliance with Swiss federal and cantonal regulations, particularly adhering to the Federal Act on Data Protection (FADP). This document serves as the initial point of contact between service providers and clients, collecting essential personal information, consent declarations, and service-specific details. The form is structured to meet Swiss legal requirements for data collection and processing, including multilingual considerations and explicit consent mechanisms. It incorporates necessary data protection notices and can be customized for various service sectors while maintaining compliance with Swiss privacy laws and documentation requirements.

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What is a Intake Form?

The Intake Form serves as a crucial first step in establishing a formal relationship between service providers and clients in Switzerland. This document is designed to collect essential information while ensuring compliance with Swiss data protection laws, particularly the Federal Act on Data Protection (FADP) and relevant cantonal regulations. The form includes mandatory sections for personal information, contact details, and consent declarations, with optional modules that can be customized based on specific service requirements. It is particularly important in Switzerland due to the country's strict data protection requirements and multilingual considerations. The Intake Form should be used at the beginning of any new client relationship to ensure proper documentation and compliance with Swiss regulatory requirements.

What sections should be included in a Intake Form?

1. Personal Information: Basic identification details including full name, date of birth, nationality, and identification numbers

2. Contact Details: Address, phone numbers, email, and preferred contact method

3. Language Preference: Preferred language for communication (German, French, Italian, or English)

4. Emergency Contact: Details of person to contact in case of emergency

5. Data Protection Notice: Information about how personal data will be collected, stored, and processed

6. Consent Declaration: Explicit consent for data processing and terms of service

7. Signature Block: Date, place, and signature fields for form validation

What sections are optional to include in a Intake Form?

1. Medical Information: For healthcare-related intake: medical history, current medications, allergies, and health insurance details

2. Financial Information: For financial service intake: bank details, income information, and financial preferences

3. Professional Background: For business or employment-related intake: work experience, qualifications, and professional references

4. Service Preferences: For service-based intake: specific service requirements, preferences, and scheduling needs

5. Additional Documentation: Section listing any required supporting documents to be attached

6. Special Requirements: Any special needs, accommodations, or preferences that need to be considered

What schedules should be included in a Intake Form?

1. Privacy Policy: Detailed privacy policy and data protection information

2. Terms and Conditions: Complete terms and conditions of service

3. Required Documents Checklist: List of additional documents needed to complete the intake process

4. Fee Schedule: If applicable, breakdown of any associated fees or charges

5. Service Description: Detailed description of services or programs being applied for

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

Jurisdiction

Switzerland

Publisher

Genie AI

Document Type

Intake Form

Cost

Free to use

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