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Printable Form Templates
teletherpy.io provides clients with online forms via their Secure Client Portal. Because these forms are interactive and use conditional logic, they offer an easy user input experience, but this also makes them difficult to print. We encourage all clients to complete their forms online, however, we understand certain circumstances require a printable versions be made available.
Below are several printable form templates for use by teletherpy.io members. Theses forms are provided as a sample baseline, and may not contain all the necessary information for your unique therapy practice. ** Please review and customize as needed for your state, country or therapy practice prior to use. **
Click the Links to Download Forms
New Client Intake Form (Sample)
- New Client Intake Form (PDF Format)
- New Client Intake Form (Word Doc)
Teletherapy Informed Consent (Sample)
- Teletherapy Informed Consent (PDF Format)
- Teletherapy Informed Consent (Word Doc)
Notice of Privacy Practices (Sample)
- Notice of Privacy Practices (PDF Format)
- Notice of Privacy Practices (Word Doc)
Psychotherapy Informed Consent (Sample)
- Psychotherapy Informed Consent (PDF Format)
- Psychotherapy Informed Consent (Word Doc)
Notice of Good Faith Estimates (Sample)
- Notice of Good Faith Estimates (PDF Format)
- Notice of Good Faith Estimates (Word Doc)
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