Private Practice Clinic Forms

These Private Practice Clinic Forms provide you with all the paperwork you need to take on clients and protect your private practice. Each form is easily editable, so you can add your business information, as well as customize it to your liking!

This pack includes:

→ SuperBill template → Payment Policy form   → Adult Intake form

→ Child Intake form → SOAP Note Template → Consent for Services form

→ Physician Referral form → Record of Contacts form → HIPAA Privacy Notice form

→ Health Insurance Verification form → Attendance & Cancellation Policy form

→ Acknowledgement & Assumption of Risk form → Consent to Release Information form

→ General Acknowledgement of Services form → Progress Report Template

→ Speech and Language Screening Form → Telepractice Consent form