Counseling Center Private Practice Forms

At Thriveworks, we often receive requests from counseling providers who are looking for private practice forms (informed consent, intakes, PHI releases, etc). Hence, we have uploaded a few basic forms (PDFs) we have used in our charter counseling office, in Cambridge, Massachusetts. Please note, that we don’t warranty these documents, and you will want to check with your respective ethical boards and state laws before utilizing any part of the following documents. Enjoy! :-)

Counseling Client Intake Form

Counseling Informed Consent Form

Simple Counseling Receipt for Services

PHI Release form for Psychological Testing

Counseling HIPAA Release Form

Notice of Privacy Practices (PDF)

Sample Business Associate Agreement  


P.S.: Check out Dr. Anthony Centore’s new Book “How to Thrive in Counseling Private Practice: The Insider’s Guide to Starting and Growing a Counseling Therapy Business

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