|
Most Essential - Initial Forms
1. Office Policies & General Information, Agreement for Psychotherapy Services or Informed Consent for Psychotherapy
2. Biographical Information - Intake Form (3 pages)
3. Biographical Information - Intake Form, (electronic version)
4. Biographical Information (1 page)
5. Initial Assessment after the First Session
Addendums to Office Policies (Form #1)
6. Social Networking and Online Search Policies
7. Dual (or Multiple) Relationships
8. Phones or Email Therapy
9. Treatment of Minors
10. Group Therapy
11. Touch in Therapy
12. Home Office
13. Bartering
Consents and Authorizations
14. Consent for Treatment of Minors & Others
15. Consent to Use Touch in Psychotherapy
16. Authorization Consenting to Release Information - pre-HIPAA
17. Authorization to Release Information - HIPAA version
18. Responsibility to Pay for Sessions
19. Consent for a Visitor to a Session
20. Permission to Record or Photograph Psychotherapy Session
21. Consent to Record or Videotape Training Session
Termination Forms and Letters
22. Termination Summary
23. Discontinuation of Therapy Letter (Premature Termination Letter)
24. Therapy is Terminated Due to Lack of Progress - Letter
25. Therapy is Terminated Due to Adverse UR Decision - Letter
26. Overdue Payment Letter
Billing
27. Sample Bill/Invoice
28. Super Bill
29. Patient's Ledger
|
Private Practice Management Forms
30. Intern Evaluation
31. Progress Notes (& SOAP)
32. Phone Consultation Form
33. Tax Deductible Expenses
34. Confidentiality Statement, Employees
35. Tracking Referral Source
36. Marketing Plan, Outline
37. FAX Cover Sheet
38. Email Signature, Re: Confidentiality
39. Outlines for a Letter Resigning from Managed Care Panels
40. Number of Sessions-Update
41. Tele-health Disclosure
Treatment Plans
42. Treatment Plan-Initial
43. Update - Treatment Plan
Subpoena & Forensic Related Forms
44. Responding to a Subpoena
45. No Subpoena Agreement
46. Request for Confidential Records
47. Workers' Compensation Medical-Legal Report
48. Forensic Agreement & Fee Schedule- Expert Witness
49. Affidavit of Merit
50. Directive to Protect Mental Health Information
51. Professional Will
52. Personal Injury Doctor's Lien
Clinical Related Forms
53. Obsessive/Compulsive/Drug Abuse Log
54. Suicide Check List
55. Suicide Contract
56. PTSD Check
57. Depression-DSM IV
Therapist's Self-assessment & Professional Development
58. Discover Your Vocation - Infusing Your Life with Joy
59. Therapists: Explore Your Relationships to Money and Marketing
60. Therapists' Self-assessment for Treating Different Aspects of Life
61. Therapists' Self-assessment for Clinical Skills
|