Community templates

Private Pay Agreement for Opted-Out Provider

Private Pay Agreement for Opted-Out Provider Consent form for community use.

Psychotherapy Practice Policies

Psychotherapy Practice Policies Consent form for community use.

Reflexology Initial Assessment

Initial reflexology assessment capturing wellness goals, health history, contraindication and foot screening, reflex-zone baseline, and a session plan.

Reflexology Intake

Reflexology Intake Intake form for community use.

Reflexology Session Note

Reflexology session note recording wellness goals, reflex-zone findings by region, techniques applied, client response, and self-care advice.

Root Cause Assessment Form

Root Cause Assessment Form Intake form for community use.

Rosenberg Self-Esteem Scale

Rosenberg Self-Esteem Scale Intake form for community use.

Satisfaction With Life Scale

Satisfaction With Life Scale Intake form for community use.

Shoulder Pain and Disability Index

Shoulder Pain and Disability Index Intake form for community use.

Speech-Language Pathology Evaluation

SLP evaluation spanning speech, language, voice, fluency, and cognitive-communication with oral-mechanism exam and standardized testing.

Speech-Language Pathology Progress (SOAP) Note

SLP treatment SOAP note capturing client report, target data, cueing, response, goal progress, and plan for the next session.

Speech-Language Pathology Treatment Plan

SLP plan of care defining target communication goals by domain, therapy approach, frequency, and home carryover program.

Stress Check-In Form

Stress Check-In Form Intake form for community use.

Substance Use Intake

Substance Use Intake Intake form for community use.

Telehealth Consent Form

Telehealth Consent Form Consent form for community use.

Testimonial and Media Release

Testimonial and Media Release Consent form for community use.

Tic Disorder Behavioral Therapy Initial Evaluation

Initial evaluation for behavioral therapy of tics with a tic inventory, premonitory urge ratings, functional assessment, and treatment goals.

Tic Disorder Behavioral Therapy Treatment Note

Tic behavioral therapy session note documenting the targeted tic, competing response, function-based strategy, home practice, and plan.

Weight Management Intake

Weight Management Intake Intake form for community use.

Weight Management Progress Note

Weight management follow-up note tracking anthropometrics and body composition, adherence and barriers, and adjustments to the nutrition and activity plan.

Wellness and Spa Intake

Wellness and Spa Intake Intake form for community use.

Wellness and Spa Treatment Note

Wellness session note for spa, float, and relaxation services recording goals, services performed, session details, client response, and recommendations.