Avoid the "oh crap" moment during intake with the Ultimate Intake Bundle. Instant access to various consent forms and intake questionnaires for your Private Practice.  All PDF documents are customizable to your brand and include electronically fillable content areas or can be printed for clients to fill out in person. The following forms are included in this bundle:

  • Notice of Privacy Practices with receipt acknowledgement
  • Informed Consent Template + Sample Informed Consent
  • Authorization for Release and Exchange of Information 
  • Telehealth Consent 
  • Client Data Form
  • Credit Card Authorization
  • Superbill Template
  • Limitation on Confidentiality in Couple/Family Therapy (No Secrets Policy)
  • Caregiver Authorization Affidavit
  • Adult Intake Questionnaire
  • Child Intake Questionnaire
  • Adolescent Intake Questionnaire
  • Couple's Intake Questionnaire

Ultimate Intake Bundle