Private Practice Starter Kit

Product Descriptions

Statement of Informed Consent - Counseling agreement that details the benefits, risks, policies and procedures clients must know before engaging in therapy services.

Sections in the Statement of Informed Consent: Session expectations, fees and billing, insurance, cancellation, and no-show policy, office hours and communication policy, emergency and crisis support, confidentiality, information therapist may share, exceptions to confidentiality, records and patient rights, minors, couples and families, group therapy, office policies, electronic communications, social interactions, termination of services, telehealth provisions (limitations, confidentiality and security, methods of communication, technology considerations, location of services), international clients, dispute resolution, miscellaneous terms on how the agreement is to be handled.

HIPAA Privacy Policy and Acknowledgment - Stay aligned with federal law with this HIPAA privacy policy and acknowledgment form. Psst… HIPAA stands for the Health Insurance Portability and Accountability Act.

This form ensures that clients are aware of their rights and how their personal health information and medical data may be used when engaging in therapy services.

Reduced Fee Agreement and Template - Set your reduced fees and fee renegotiating terms with the reduced fee agreement and template form.

This form is for clients who would like to offer a sliding scale and includes language around eligibility and re-negotiating your reduced fee terms. If you have not yet decided how a reduced fee scale will fit into your practice, the form includes a template and considerations to help you begin to set your reduced fee rates.

Release of Information - Communicate with third parties with ease after giving them this release of information form.

This form is used to request permission from your clients to disclose information to other healthcare providers or another third party.

Termination of Therapeutic Services - Saying good-bye may be hard but documenting it is easy with this termination of therapeutic services form.

The termination of therapeutic services form is to be sent to clients when they are discharged from therapy services and lists four reasons for discharge to choose from.

Email Confidentiality Signature - Oops! You sent an email in error. Inform them what to do (and what not to do) with the message with this email confidentiality signature.

Download and Customization Support

Your product will be sent to you via email after purchase. You will have 24 hours to click the link in your email to download your product. Once downloaded, the product will open as a Microsoft Word file that you can edit. If you do not have Microsoft Word, you can upload the file to Google Docs and edit from there.

Final Sale

Products are sent digitally after purchase and cannot be returned or exchanged. Due to the product being digital in nature, once you purchase a product, it is a final sale. However, please reach out to me with how I can help if you hit a snag.

Disclaimer

Mental health therapists in different disciplines and across states may use these documentation forms as they are not specific to one discipline or state. Many clinical ethics and legal standards for therapy tend to be similar across disciplines and states. However, you will need to check with your state licensing board for any provisions, guidelines, or information that should be added to your documentation forms that are specific to your discipline or state. You will be responsible for adhering to and staying current with the ethical or legal standards of your state licensing board. By purchasing this product, you agree that you are solely responsible for adding any additional provisions, guidelines, and information required by your state licensing board.

Single-User Agreement

By purchasing this product, you agree to use the products for personal use only. You are given a non-transferable, single-user license to this product. You cannot distribute or share the product with another third party. You are not granted resale rights or private label rights when purchasing this product. 

YOU MAY edit the product with your logo and brand, edit the content so it fits your brand voice, and use the product for clients in a business where you are the sole owner.

YOU MAY NOT copy, reproduce, share, sell, loan, or give away the product or allow any individual, group, organization, or corporation to use the product in whole or in part. You may not create products from the templates for sale or free distribution. You may not claim the product or elements of the product as your own.

If you would like to use this product in a group practice where you are the owner, reach out to support@asksydneyjames.com for the purchase of a group licensing agreement. If you do not have a group licensing agreement you are not permitted to share the product with another third party.