Effective date: 23 Sep 2026 · Operated by: Intake
1. What this app is
This is a digital version of a counselling intake, informed consent, progress note, and termination summary form set, used by counsellors to record client information during the counselling process. It runs entirely in your web browser.
2. What information is collected
When a counsellor fills in the form, the following types of information may be entered:
- Client identifying details (name, client ID, date of birth, contact information, address)
- Clinical and health-related information (presenting problems, psychiatric and medical history, risk assessments, diagnoses, treatment plans, progress notes)
- Signatures typed by the client and counsellor
This information is entered directly by the counsellor (and, where relevant, the client) and is not collected from any other source.
3. Where this information is stored
This app does not operate its own server or database. Data you enter is stored in two places only:
- Your device's browser storage — while you are filling in the form, your entries are autosaved locally on your own device, so a record survives an accidental page refresh. This data never leaves your device unless you save it to Google Drive.
- Your own Google Drive — when you choose to sign in with Google and click "Save to Drive," a record is saved directly from your browser into a folder named "Counselling Intake Forms" inside your own Google Drive account. We do not have a server that receives, stores, views, or has any access to this data. It is saved by your browser directly to Google, under your Google account.
4. Google Drive access (drive.file scope)
This app uses Google's drive.file permission scope, which is a limited, non-sensitive scope. In practice this means:
- The app can only see and manage files that it itself creates in your Drive (the "Counselling Intake Forms" folder and the records inside it).
- The app cannot see, read, or list any other file or folder in your Google Drive.
- You can revoke this access at any time via your Google Account's third-party access settings. Revoking access does not delete files already saved in your Drive — you can delete or keep them independently.
5. Who is responsible for the data (data controller)
Because each signed-in counsellor's records are saved into that counsellor's own Google Drive, each counsellor (or their employing clinic/organization) is the controller of the client data they enter and save — not the developer of this form. [Intake] is responsible for ensuring client data collected through this form is handled in line with applicable data protection and clinical record-keeping obligations in their jurisdiction, and for obtaining any consent from clients required for that record-keeping.
6. Cookies and tracking
This app does not use analytics, advertising, or tracking cookies. Google's sign-in process itself may set cookies required for authentication, governed by Google's own Privacy Policy.
7. Data retention and deletion
Records remain in a counsellor's Google Drive until that counsellor deletes them, exactly like any other file in their Drive. Locally autosaved drafts can be cleared at any time using the "Clear all" button in the form, which removes the data from that device's browser storage.
8. Security
The form is served over HTTPS. Sign-in is handled entirely by Google's own authentication system (Google Identity Services); this app never sees or stores your Google password. Saved records are protected by the same security Google applies to the rest of your Google Drive account.
9. Contact
Questions about this policy or about how a specific counsellor or organization uses this form can be directed to: chandanahangawatta@gmail.com
10. Changes to this policy
This policy may be updated from time to time. Continued use of the form after changes are posted constitutes acceptance of the updated policy.