Forms

Common Private Psychotherapy Practice Forms

Posted by [email protected]

One of the challenges of starting private practice is developing your forms and practice policies. There are tons of forms… just figuring out what you need can be daunting. Be patient as you work through the process and keep in mind you will need to edit them as your practice evolves (hint: don’t print too many copies at once).

I started my practice in fall of 2014. I am still modifying forms and policies, as things change and new informed consents and policies are added to the ridiculously long list of forms private practice requires.

This is one reason I switched to electronic health record (EHR) and chose Simple Practice. Charting and editing forms is so much easier. Still, the seemingly endless forms are required whether you are using paper or using an EHR with e-sign for a “paperless” chart.

You will need to develop and/or review and understand most of these forms, depending on your practice model:

  • Registration/Intake Form
  • Diagnostic Assessment / Biopsychosocial Evaluation
  • Client Payments Form for Chart
  • Informed Consent for Psychotherapy
  • Introductory Letter
  • Practice Policies
  • Confidential Psychotherapy Notes
  • Receipt for Payment / Superbill
  • Sliding Scale Payment Agreement
  • Treatment Plan
  • Sublet Rental Agreement
  • Group Therapy Note
  • Group Therapy Informed Consent
  • Progress Note
  • Progress Note with Treatment Plan
  • CMS1500
  • Telehealth Informed Consent
  • HIPAA Notice of Privacy Practices (NPP)
  • Receipt and Acknowledgment of HIPAA NPP
  • Consent for Release of Information
  • Consent to Charge Credit Card
  • Informed Consent for Reminder Messages
  • EAP Assessment and Referral Progress Notes
  • Social Media Policy
  • PHQ9
  • GAD7

This list is not an all-inclusive list of all the forms you could possibly need, but these are common. Several of these forms you can find online for free, such as the HIPAA Notice of Privacy Practices, Patient Health Questionnaire 9 (PHQ-9), and the Generalized Anxiety Disorder 7 (GAD-7).

For a Social Media Policy, I recommend checking out Dr. Keely Kolmes at https://drkkolmes.com/2010/02/01/updated-private-practice-social-media-policy/#.XyzbRijYo2w. This is her free version you can modify and she has an updated version for a fee.

For additional forms, I recommended doing an online search plus, looking at the list of forms provided in The Paper Office. The Paper Office includes a disc with all the forms in editable format and tons of great information every clinician needs.

I’ve added Common Private Practice Forms Package 16 in my shop which includes the following 16 editable .docx SAMPLE forms:

  • Registration Form
  • Diagnostic Assessment / Biopsychosocial Evaluation
  • Client Payments Form for Chart
  • Informed Consent for Psychotherapy
  • Introductory Letter
  • Practice Policies
  • Confidential Psychotherapy Notes
  • Receipt for Payment / Superbill
  • Sliding Scale Payment Agreement
  • Treatment Plan
  • Sublet Rental Agreement
  • Group Therapy Note
  • Group Therapy Informed Consent
  • Progress Note – print 2 sided for 4 dates on one sheet
  • Progress Note with Treatment Plan
  • Blank Sample CMS1500 (not usable)

The cost is minimal and these forms are meant to help you get started quickly. Review, customize to your preferences, then send to your risk management attorney for consultation.

If you are considering your forms, then congratulations are in order! You are deep in the process of starting your private practice.

Featured Image by Lorraine Mays from Pixabay

2 thoughts on “Common Private Psychotherapy Practice Forms

  1. Roopa Baruah, LCSW, CCHt.

    Bonnie’s forms are very comprehensive and user friendly. They have taken a huge load off my shoulders as I’m preparing to open my private practice. Her Guide on starting your private practice has been an invaluable resource for me as well, with step by step guidance and tasks to complete. She’s also been very responsive to my email queries about a number of things. THANK YOU, Bonnie!

    1. [email protected]

      Your welcome, Roopa! I just emailed a new version of a basic Progress Note to those who’ve purchased forms from me. This Progress Note is now included in the Common Private Practice Forms Package – 16. It is meant to make progress notes super easy using checkboxes, and minimal need to try to remember the essential elements of a progress note. Congratulations on the progress YOU are making Roopa!

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