Licensed professionals in the health and wellness industry need patient forms to comply with professional requirements, reduce risks, and lay out and manage patient expectations. Many professionals will use forms they find online, from previous employers, or from EMR/EHR systems like SimplePractice to get started. However, as you build your practice, customized forms can better reflect the way you operate and set the tone for your relationship with your client. For example, your forms can lay out how you:

• Bring on a client
• Handle late arrivals or cancellations
• Set boundaries regarding communication outside of a session
• Handle payment and pricing
• Use client information and protect client privacy
• End the practitioner-client relationship
• Address other issues or situations unique to your practice

It is also important to make sure your policies comply with the law, like having a HIPAA notice of privacy practices, obtaining authorization to use a client’s information where necessary, and having a good faith estimate template ready to use.

What’s included in the package of patient forms?

Our flat fee includes drafting the following forms, making 2 rounds of changes, and discussing them with you. This process usually takes 4-6 weeks. Please note, we customize the package for each practice’s needs, so these documents might be combined and/or reorganized based on what works for you:

• Consent for Treatment/General Practices (no guarantee as to outcome, possible side effects, right to stop at any time)
• Consent for Payment (insurance, cancellation policy, late arrival policy, type of payment accepted, late payment policy)
• HIPAA Notice of Privacy Practices
• HIPAA Release of Information
• Consent to Telehealth Services
• Good Faith Estimate Template (for self-paying clients)

In addition to the value of the work product itself, drafting patient forms with us has the added bonus of establishing a long-term relationship with G & G Law. Throughout the process, we get to know you, your business, and how your business operates. This helps us more efficiently handle future legal questions, issues, and needs going forward.

What are the fees for patient forms?

Health and Wellness Licensed Professionals Package

• Flat Fee: $3,945

Health and Wellness Licensed Professionals Add-Ons

Over the years, we have helped a variety of health and wellness practitioners develop their client forms and we know that the services vary significantly between practitioners. Sometimes additional forms are necessary to lay out the specific risks, applicable laws, and practitioner policies for certain services or clients. For such situations, we can offer additional forms, such as:

• Consent for Minors
• Consent for Recordings/Photos Taken and Consent to Use Recordings/Videos
• Consent for Specific Treatments, e.g., aquatic therapy, in-person therapy outside of the office, functional behavior assessments, or treatments that involve physical contact to clearly disclose the risks and benefits
• Consent to Transportation
• Consent for Therapeutic Guest

Add-Ons (if engaged with Health and Wellness Licensed Professionals Package)

• Flat Fee: $750 each

If you are interested in purchasing an individual form, we will determine pricing on an individual basis.