Everything you need to take on clients with confidence: a complete, modern client intake packet for therapists in private practice. Updated for 2026 with editable Word files you can load into your EHR.
What's inside:
Client Informed Consent and Working Relationship Agreement
Client Intake Form (inclusive demographics and a safety screen)
Telehealth Informed Consent
Consent for Counseling with a Provisionally Licensed Therapist
Authorization for Release of Information
Consent to Communicate by Text and Email
Insurance Opt-Out and Self-Pay Agreement
Good Faith Estimate Notice
Notice of Privacy Practices
Sliding Scale Consent
Couples Intake Form
Out-of-Network Information Sheet (superbills and reimbursement)
Instant digital download (.zip) of editable files. Every fill-in field is highlighted, and template notes explain how to customize each document. Not legal, tax, HR, or financial advice; have your attorney review for your state. For use in your own practice only.
Everything you need to take on clients with confidence: a complete, modern client intake packet for therapists in private practice. Updated for 2026 with editable Word files you can load into your EHR.
What's inside:
Client Informed Consent and Working Relationship Agreement
Client Intake Form (inclusive demographics and a safety screen)
Telehealth Informed Consent
Consent for Counseling with a Provisionally Licensed Therapist
Authorization for Release of Information
Consent to Communicate by Text and Email
Insurance Opt-Out and Self-Pay Agreement
Good Faith Estimate Notice
Notice of Privacy Practices
Sliding Scale Consent
Couples Intake Form
Out-of-Network Information Sheet (superbills and reimbursement)
Instant digital download (.zip) of editable files. Every fill-in field is highlighted, and template notes explain how to customize each document. Not legal, tax, HR, or financial advice; have your attorney review for your state. For use in your own practice only.