School counseling intake form template helps educators and school counselors collect essential student information when initiating counseling services. Use this form to record student background, guardian contact details, presenting concerns, and basic academic and social indicators to inform support planning.

The free template includes fields for full name, date of birth, grade level, parent or guardian contacts, phone and email, reason for counseling, current concerns, academic performance options, and social or emotional notes. It also asks about previous counseling experience and provides space for additional details.

This form suits elementary through high school settings, counseling centers, special education teams, and student services departments. Use it during initial referrals, case intake, progress reviews, or when coordinating with families and external providers.

Click "Use This Template" to open, customize, and deploy the school counseling intake form template for your school or district today and begin providing timely student support services and confidentially.