Contents

Ontario psychotherapy client intake checklist

Ontario psychotherapy client intake checklist

What the checklist covers

The free Ontario psychotherapy client intake checklist PDF lists operational items many CRPO practitioners collect before or at the start of treatment:

  1. Contact information and emergency contact
  2. Presenting problem / reason for referral
  3. Biopsychosocial history questionnaire
  4. Prior mental health treatment history
  5. Current medications
  6. Risk screening (self-harm, harm to others, substance use)
  7. Informed consent for psychotherapy (limits of confidentiality, fees, cancellation)
  8. Telepsychotherapy consent (if virtual)
  9. Extended health insurance policy details and session limits
  10. Insurance card copy (if billing benefits)
  11. EAP referral letter and session authorization (if applicable)
  12. Fee agreement / OOP receipt preferences
  13. Custodian acknowledgement (group practice)
  14. Minor client — guardian consent and capacity documentation (if applicable)

Checklist for operational use. Verify requirements with CRPO standards, your insurer, and current PHIPA guidance.

From PDF to tracked intake

A PDF checklist helps you design your process. Hivi-X helps you run it:

  • Build reusable checklist templates from these items
  • Share via a secure guest link (no account needed) or the my-id.ca portal
  • Track todo / submitted / approved / rejected per line
  • Export a PDF intake package for your clinical record

There is no pre-seeded CRPO template pack in the Hivi-X app library in v1 — you build your own templates.

General information for Ontario psychotherapists and counselling practices only. Not legal, clinical, privacy, or psychotherapy advice. Not affiliated with or endorsed by CRPO or any college. Hivi-X is document-collection software — it is not a licensed psychotherapist, does not provide psychotherapy or clinical assessments, does not certify PHIPA or CRPO compliance, and does not replace your EMR or clinical record obligations. You remain the health information custodian under PHIPA. Consult qualified counsel and your professional liability insurer.

Download the free checklist PDF.

Answers are general operational information only — not legal, tax, regulatory, clinical, privacy, immigration, or professional advice. Requirements vary by matter, client, and regulator.

Frequently asked questions

What intake documents do Ontario psychotherapists typically collect?
Typically contact and emergency details, biopsychosocial history, risk screening, informed consent, telehealth consent if virtual, insurance or EAP details, and guardian consent for minors. Exact requirements depend on your practice and current CRPO guidance.
Is this checklist CRPO-mandated?
No. This checklist reflects common Ontario psychotherapy intake practice for operational use. Verify requirements with CRPO standards, your insurer, and current PHIPA guidance.
How do I turn the PDF checklist into a tracked workflow?
Recreate the items as a reusable Hivi-X checklist template, attach per client, share to the my-id.ca portal, and track missing items with approve/reject before session one.

Collect complete intake before session one

Hivi-X helps Ontario CRPO psychotherapists and counsellors collect informed consent, biopsychosocial forms, insurance cards, and telehealth consent with reusable checklists, a secure guest link (no account needed) or my-id.ca portal, self-hosted AI summaries, and exportable intake packages for Jane, Owl Practice, or your EMR.

Ontario Psychotherapy Client Intake Checklist | hivi-x Docs