Running an Ayurveda practice means every client consultation deserves a thorough, structured
start — and this professionally designed client intake form gives you exactly that. Created
specifically for Ayurvedic practitioners, therapists, and wellness coaches, this comprehensive
19-page form captures everything you need to understand a client’s health history, current
imbalances, and treatment goals before your first session.

What’s included in this download:

The form covers all essential intake categories, including personal details, chief health complaints,
medical history, current medications and supplements, digestive health, sleep patterns, energy
levels, and emotional wellbeing. It also includes dedicated sections for dosha assessment
questions, prakriti and vikriti exploration, and a lifestyle analysis aligned with Ayurvedic principles.
The minimalist, clean design means your clients find it easy to fill in, and you get information
presented in a way that’s fast to scan and review.
You receive two formats: a ready-to-print PDF and a fully editable Canva template. The Canva
version lets you personalize the form with your practice name, logo, and brand colors in minutes
— no design experience needed. Print it for in-clinic use, or send the Canva link for clients to fill in
digitally before their appointment.

Who is this for:

This form is ideal for qualified Ayurvedic practitioners, Ayurveda coaches, holistic health therapists,
panchakarma centres, and yoga teachers who also offer Ayurvedic lifestyle guidance. It works
equally well for new practitioners building their first client-facing documents and established clinics
looking to upgrade to a more professional intake system.

How to use it:

Download the PDF instantly after purchase and print as many copies as needed for personal
practice use. Access the Canva link included in the download, duplicate the template into your own
Canva account, and customize it within minutes. If you’d prefer the customization done for you,
simply email the team and we’ll update it with your branding.
This intake form saves you hours of document creation time, ensures you never miss an important
health detail, and gives your practice a polished, professional first impression.