This amazing Practice Forms Packet includes 17 essential forms, now including a Telehealth Consent, Credit Card Authorization, and Couples Treatment Agreement. It also includes a Coordination of Care Form (a frequent insurance requirement), to allow you to send info to a client’s doctor or other treating providers, and document coordination of care without calling. The packet was put together by an insurance expert with an eye toward meeting common legal and ethical requirements as well as insurance plan expectations. These forms are terrific if you’re just setting up your practice, or never spent much time on your forms, or if you are now needing new forms for your video and phone sessions and credit card charges.
The forms will be sent to you in digital format (Word documents) so you can easily customize them for your practice. And they are so affordable, at less than $5.oo each!
The packet of forms includes:
- NEW!! Telehealth Informed Consent
- UPDATED!! Credit Card Authorization (updated for telehealth)
- New Client Registration/Data Form
- Treatment Agreement for Adults
- NEW!! Couples Treatment Agreement (including Secrets Policy and Records Release info)
- Treatment Agreement for Minors
- Sample Invoice/Statement/Superbill with common CPT codes
- Notice of Privacy Policies (HIPAA)
- Release of Information
- Session/Payment Record (Tracks Sessions and Payments)
- Fax Cover Sheet
- SOAP Progress Notes Template
- DAP Progress Notes Template
- GRISWOLD Progress Notes Template
- Checking Insurance Coverage: 12 Questions to Ask (updated for telehealth)
- Private Pay Agreement (for insurance clients wanting to pay out of pocket for non-covered services like extended sessions, or wanting to waive using their insurance, or for private-pay clients attesting they don’t have coverage)
- Coordination of Care with Doctor/Other Treating Provider Form
Not available individually. To purchase, click on “Add to Cart” above.
After your purchase, wait! You should be automatically redirected to a “Thank You” page with a list of your purchases and all the downloadable items. We will also follow up via email within one business day with a link to the forms. If you do not receive the follow up email please check your spam folder. If after one business day you have not received the follow up email, and they are not in your spam folder, please contact us at firstname.lastname@example.org.
Disclaimer: Forms in this packet are meant to be a guide only. State laws, ethics codes, federal regulations, and insurance plan requirements may vary widely between professions, states and plans, and practice policies may vary widely between practitioners.