CLINICAL FORMS PACKAGE
If you want to pride yourself in providing quality care, then look no further. Our clinical forms are a comprehensive collection of forms that will ensure efficiency, and accurate record keeping.
State legislation, Medicare Conditions Of Participation and Accreditation Rules requires certain forms to fill out and records to be kept, and so, this is an important part of your Health Care business. These forms will help keep you compliant.
Just as importantly, it also ensures your patient’s continuity of care, making sure accurate and detailed records are kept.
Again, as with all our documents, they can be customized to you requirements, as they are provided in a MS Word format
We are so confident about the quality of these tried & tested Quality-Guarantee 60 materials, that if your not completely satisfied then you can send it back to us for a full refund.
Package Includes:
Most Essential – Initial Forms
- Office Policies & General Information, Agreement for Psychotherapy Services or Informed Consent for Psychotherapy
- Biographical Information – Intake Form (4 pages)
- Biographical Information – Intake Form, (electronic version)
- Biographical Information (1 page)
- Initial Assessment after the First Session
Addendums to Office Policies
- Social Networking and Online Search Policies
- Dual (or Multiple) Relationships
- Phones or E-mail Therapy
- Treatment of Minors
- Group Therapy
- Touch in Therapy
- Home Office
13. Bartering
Consents and Authorizations
- Consent for Treatment of Minors & Others
- Consent to Use Touch in Psychotherapy
- Authorization Consenting to Release Information – pre-HIPAA
- Authorization to Release Information – HIPAA version
- Responsibility to Pay for Sessions
- Consent for a Visitor to a Session
- Permission to Record or Photograph Psychotherapy Session
21. Consent to Record or Videotape Training Session
Termination Forms and Letters
- Termination Summary
- Discontinuation of Therapy Letter (Premature Termination Letter)
- Therapy is Terminated Due to Lack of Progress – Letter
- Therapy is Terminated Due to Adverse UR Decision – Letter
- Overdue Payment Letter
Billing
- Sample Bill/Invoice
- Super Bill
- Patient’s Ledger
Private Practice Management Forms
- Intern Evaluation
- Progress Notes (& SOAP)
- Phone Consultation Form
- Tax Deductible Expenses
- Confidentiality Statement, Employees
- Tracking Referral Source
- Marketing Plan, Outline
- FAX Cover Sheet
- E-mail Signature, Re: Confidentiality
- Outlines for a Letter Resigning from Managed Care Panels
- Number of Sessions-Update
- Telehealth Disclosure
Treatment Plans
- Treatment Plan-Initial
- Update – Treatment Plan
Subpoena & Forensic Related Forms
- Responding to a Subpoena
- No Subpoena Agreement
- Request for Confidential Records
- Workers’ Compensation Medical-Legal Report
- Forensic Agreement & Fee Schedule– Expert Witness
- Affidavit of Merit
- Directive to Protect Mental Health Information
- Professional Will
- Personal Injury Doctor’s Lien
Clinical Related Forms
- Obsessive/Compulsive/Drug Abuse Log
- Suicide Check List
- Suicide Contract
Therapist’s Self-assessment & Professional Development
- Discover Your Vocation – Infusing Your Life with Joy
- Therapists: Explore Your Relationships to Money and Marketing
- Therapists’ Self-assessment for Treating Different Aspects of Life
- Therapists’ Self-assessment for Clinical Skills
Don’t pay $495 anywhere else for these forms. IRI is owned and run by Industry professionals, with a desire to help other industry professionals. We keeps our costs to a minimum.
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