Office Management
Authorization to Use Appointment Reminders

This practice management form authorizes the therapists to use either text or phone appointment reminders. (0122, practice management, forms)

Internship HIPAA Confidentiality and Nondisclosure Statement

This form is given to interns so they understand HIPAA confidentiality and nondisclosure. (0720)

Emergency Contact Form

This form can be used to document a client’s emergency contacts. (0720)

Letter to Clients Regarding Inability to Perform Therapist Duties

This letter template can be used to inform clients that you are unable to continue treating them due to matters beyond your control. (0720)

HIPAA Employee Nondisclosure Agreement

This agreement is between an employee and a clinic/agency to prevent the unauthorized disclosure of confidential information by the employee. (0720)

Letter of Termination to Client for Missed Appointments

This letter template can be used by therapists to terminate services with a client who repeatedly misses appointments. (0720)

Letter of Termination to Client Due to Conflict of Interest

This letter template can be used to inform a client the therapist must terminate services when there is a conflict of interest that makes it difficult or impossible for the therapist to treat the client under ethical guidelines. (0720)

Letter to Former Clients Regarding Inability to Perform Therapist Duties

This letter template can be used to send to former clients to notify them you are unable to provide therapeutic services at this time. (0720)

Treatment Termination Due to Lack of Progress Letter

This letter template can be used by therapists to discontinue a therapeutic relationship with a client who is not making progress. (0720)