Contact

Private Practice Startup

2419 East Commercial Blvd Suite 203

Fort Lauderdale, Fl 33308

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Tel: 754-307-7528

​Email: Kate@theprivatepracticestartup.com

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©Private Practice Startup 2015 - 2019

Peak Package

Legal & Ethical

Private Practice Paperwork

​Save Time, Money, & Avoid Legal Issues with Attorney Approved Private Practice Paperwork

Knowing you need legal, ethical and competent paperwork is overwhelming, time consuming and expensive!  We’re clinicians, not lawyers.

 

Don't put your dream practice on hold by wasting time, energy and money creating your paperwork from scratch and having attorneys review it.

 

We’ve been there, we get it, and… We did all the grunt work for you. We scoured through the laws and ethics, put in the 100+ hours of work and paid thousands of dollars in attorney fees so you don’t have to!

 

Get all your customizable, attorney approved private practice forms in one place so you never have to worry again with the Peak Package!  

 

Just getting started? The Base Package will set you up with the essentials so you can start seeing clients today!  

 

Only need a few forms? Select your favorites from our A La Carte Paperwork.  

​​​​​​Private Practice Paperwork 

Made Easy

The Peak Package is our most comprehensive paperwork package including 20+ forms so you never have to worry about paperwork again! All forms are fully customizable with your practice details and delivered instantaneously via email in Word format making them easy to update.

The Attorney Approved Private Practice Paperwork has been reviewed by 3 Family Law Attorneys and 1 Health Care Law Attorney ensuring it meets the highest legal and ethical standards.  Purchase the Peak Package, download the forms, customize them with your practice details, and start using them today!

Peak Package Includes:

  1. Assignments of Insurance Benefits

    • This Insurance Billing Authorization Form is essential for any therapist who accepts either in-network or out of network insurance from their clients for services rendered.

    • There are two Assignment of Insurance Benefit Documents (one for Florida specifically and one for Multi-State)

  2.  Biopsychosocial Intake and Client Information Forms (Child and Adult Forms)

    • The Biopsychosocial Intake Forms cover the necessary biological, psychological, and social assessment to be completed by clients or their parents/guardians before their first session.

    • It also collects the necessary client information and demographics for client records.

    • This includes two different thorough assessment forms, one for minors (child and adolescent) and the other for adults.

  3. Collection Letter

    • This financial collection letter is for therapists who accept insurance or cash payments for services rendered. If clients have a past due balance, this form is the perfect template for therapists to send addressing the past-due balance and requesting payment. 

  4. Consent, Policies & Agreement for Insurance and Self-Pay Practices

    • Limits to Confidentiality – including areas regarding electronic communication, social media, dual relationships & public interactions, court orders, legally issued subpoenas, couples counseling and “no secrets policy”, and fee/credit card disputes.

    • Therapeutic Process – including risks & benefits, expectations, structure and length of therapy, cancellation policy, fee structure including trial and litigation, copies of medical records, phone and emergency policy.

    • Explanation of the Reasons for Not Accepting Insurance  – including risks, myths of confidentiality, and impacts of having a mental health disorder diagnosis.

    • Emergency Contact & Consent

    • Consent to Treat Minor and Adult Clients

  5. Discharge/Termination Summary

    • This document is to be completed by the therapist upon discharge or termination of therapy services. This summary reviews the necessary information regarding the context of treatment termination such as: dates, diagnoses, treatment participation, observations, risk factors, clinical recommendations, aftercare plan, support systems, etc…

  6. Documentation/Communication Form

    • This form provides a format for documenting any and all interactions with clients such as phone calls, scheduling changes, collaborations with other treatment providers (providing a release has been signed), and family/significant other communication (providing a release has been signed), etc.

  7. Email Confidentiality Form Template

    • This email confidentiality template is attorney approved and ready for use in your email signature ensuring recipients are aware of your privacy/confidentiality policies for electronic communications.

  8. Group Counseling Consent

    • Do you practice group counseling or want to start?  This Attorney Approved Group Counseling Consent is perfect for your group practice needs. It addresses group confidentiality, limits of confidentiality, benefits of counseling, as well as a place where you can put in all the information about your specific group structure ie: length, frequency, costs, attendance requirements, dates, expectations, etc.  This form is to be used in conjunction with HIPAA.  If you are seeing clients 1:1 you also need to have them complete the Therapy Consent Policies and Agreements.

  9. HIPAA 

    • This document contains important information about federal law, the Health Insurance Portability and Accountability Act (HIPAA), that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations.

  10. Letter of Progress

    • This document is a template for writing a progress letter for the client, their support system, other treatment providers, and/or organizations mandating treatment.

  11. Media Consent Form

    • If you plan to photograph, videotape, audiotape, or share client identifying information in any publications, research, trainings, supervision, etc., this form is vital! The Media Consent Form outlines how and where the clients information would be used. It also requires authorization from clients for their information to be shared.

  12. Mental Status Exam and Diagnosis Form

    • Our mental status exam is the psychological equivalent of a physical exam that describes the mental state and behaviors of the client. It includes both objective observations of the therapist and subjective descriptions given by the client.

    • These forms also include an area for diagnosis and clinical summary/narrative.

  13. Process/Progress Note Template

    • This process/progress note template is formatted to document completed client session notes.

  14. Psychological Evaluation & Testing Consent

    • Are you a psychologist who performs testing or provides letters for court or 3rd parties on behalf of your clients? This consent follows the APA Code of Ethics regarding psychological testing. The consent allows you to list all of the services you provide, addresses confidentiality, testing purpose, bases of testing, request for accommodations, payment structure, and release of records.  

  15. Release of Information

    • As therapists, we must have a signed release of information authorization completed by each client before the therapist can communicate/collaborate with anyone outside of the therapy room.

    • This release of information provides options for either bilateral or unilateral authorization once signed by the client for any person or organization they identify.

  16. Sliding Scale Agreement 

    • This agreement specifies the detailed arrangement regarding reduction in rate for services rendered in order to meet the needs of clients who aren’t able to pay the full rate for services.

  17. Substance Abuse Intake Assessment

    • This assessment provides a template for clinicians to easily utilize when exploring substance use history, the role of substance abuse in one’s life, and past solutions for managing the substance use.

  18. Suicide Risk Assessment & Client Treatment Compliance Agreement 

    • This assessment and compliance agreement is a useful way to ensure you are assessing and documenting safety and treatment compliant issues. This document addresses areas such as: safety or treatment concerns, triggers, medical/mental health issues risk factors, protective factors and resources, support systems, intervention plan, etc. This agreement is intended to be collaboratively completed and signed by both clinician, support people/parent, and client.

  19. Superbill Template

    • For therapists who accept out-of-network insurance in their practice, this superbill template is a vital resource.

    • It includes all of the necessary documentation for therapists to complete in order for insurance companies to provide reimbursement for services rendered according to the specific benefits for each specific insurance plan.

    • It also includes a handy CPT Code for common services provided in therapy practices.

  20. Technology Assisted Counseling Consent

    • Do you provide or want to provide phone therapy or video conference therapy? If so, this form is a must! This Technology Assisted Counseling consent form outlines the logistics by discussing: limitations, logistics, technological challenges, confidentiality/privacy, payment, emergencies, cancellation policy and consent for tele-health counseling.

  21. Treatment Plan

    • Our treatment plan includes assessment of the client’s strengths and resources; presenting problem narrative and supporting symptoms; primary and secondary diagnosis and ICD 9/10 codes; and up to 3 goals, objectives, interventions, and target dates.

  22. Welcome Letter

    • This template is one you can revise that welcomes clients to your practice and lets them know a little about what they can expect from you and your business. Once you add your information and add your logo, you’re good to go!

***As a reminder, our paperwork cannot be distributed or shared with anyone else. It’s for individual use only.***

Startup Nation's Rave Reviews: 

Laura Long, LMFT of Your Badass Therapy Practice

“The paperwork package is a MUST HAVE for anyone in private practice. I have the Peak Package and it’s AMAZING. I don’t ever have to worry about getting sued. I recommend it for all of my badass tribe members.”

Mathew Jeanius, LMFT of Beach Stone Counseling

"It's amazing how much more PROFESSIONAL my business became as a result of having the right paperwork. I became more CONFIDENT in private practice. What I purchased was WORTH EVERY DOLLAR."

Fernando Campos

of Avant-Garde Therapy

“I saved up to purchase the Peak Package of paperwork. It was completely WORTH IT! Updating my information into the templates was SUPER EASY. I'm not a lawyer, I'm a therapist. It feels GREAT knowing that I'm covered!”

Get Your Customizable, Attorney Approved 

​Release of Information for ONLY $5 

& HIPAA Form for FREE! (Total Value of $58)