NHW Client Intake

Secure Client Intake Forms

Free · Designed for iPad. Not verified for macOS.

New Hope Wellness Client Intake Streamline your client intake process with the official New Hope Wellness mobile application. Designed for healthcare professionals and intake coordinators, this HIPAA-compliant app enables secure, efficient collection of client information for behavioral health services. KEY FEATURES: • Comprehensive client information capture • Digital signature collection for all consent forms • HIPAA-compliant data handling and storage • Automatic PDF generation and secure delivery • Offline draft saving with resume capability • Streamlined workflow for intake coordinators INCLUDED FORMS & CONSENTS: • Client demographic and contact information • Program needs assessment • Informed consent for services • HIPAA privacy notice acknowledgment • Client rights and responsibilities • Billing and insurance authorization • Emergency procedures and crisis protocols • Telehealth consent (when applicable) SECURITY & COMPLIANCE: All data is transmitted securely and stored in compliance with HIPAA regulations and Virginia DBHDS licensing requirements. Digital signatures are captured and embedded in generated PDF documents for complete record-keeping. ABOUT NEW HOPE WELLNESS: New Hope Wellness is a licensed behavioral health provider serving the Richmond, Virginia community. We are committed to providing quality mental health and substance use disorder services with dignity and respect. For support or questions, contact New Hope Wellness at (804) 369 3600.

  • This app hasn’t received enough ratings or reviews to display an overview.

• Added photo ID capture for client identification • Added eligibility screening criteria with Yes/No questions • Added Sex, Gender, Marital Status, and Ethnicity fields • Improved intake summary with eligibility details • Enhanced PDF report with client photo and demographic data • Bug fixes and performance improvements

The developer, New Hope Wellness, LLC, indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy .

  • Data Linked to You

    The following data may be collected and linked to your identity:

    • Health & Fitness
    • Contact Info
    • User Content
    • Sensitive Info

Privacy practices may vary, for example, based on the features you use or your age. Learn More

The developer has not yet indicated which accessibility features this app supports. Learn More

Seller
  • New Hope Wellness, LLC
Size
  • 2 MB
Category
  • Medical
Compatibility
Requires iOS 17.0 or later.
  • iPhone
    Requires iOS 17.0 or later.
  • iPad
    Requires iPadOS 17.0 or later.
  • Mac
    Requires macOS 14.0 or later and a Mac with Apple M1 chip or later.
  • Apple Vision
    Requires visionOS 1.0 or later.
Languages
  • English
Age Rating
16+
Copyright
  • © 2026 New Hope Wellness, LLC