Forms and Resources

Over 20 forms and resources that are used in my therapy clinics

All forms are Customizable:

Super Bill

Evaluation Explanation Letter in English and Spanish

Letter in Spanish asking client to call you to set up evaluation

Infection Control

Clinic Rules for Clients

Frequent Absence Letter (Please don’t miss therapy)

Payment Responsibility Notification

Accident/Incident Report

Information for Observing / Clinical Therapy Students

Free Developmental Screening Offer Letter

Short Data Intake Form

Warning of Termination of Therapy Letter in English and Spanish

Absence Excuse

Evaluation Performed for Internal use and tracking

Evaluation enclosed letter to client

HIPAA – Confidentiality Agreement for 1099 Contract Therapist

Practice Mission Statement

Patient Information Release

Appointment Reminder Postcard

Questions to ask your insurance about therapy coverage (To give to clients)

Speech and Language Development Checklist

Privacy Notice for Clients to sign

Photo/Video Release

Excel-Spreadsheet Forms

Insurance Providers by State: The two biggest providers by state with contact information

Master Time Sheet: Keep track of multiple clients and automatically add treatment units

Superbill with automatic calculation of fees