This is a 7 page template of an Informed Consent and Private Practice Form. 
 
It includes:
 
A description of the therapeutic relationship
Confidentiality & Privacy
Social Media
In case the therapist is incapacitated
Fees & Good Faith Estimate Statement
Etc. Etc. 
 
Heads up: This is a template and may not fit the encouraged ethical and/or legal requirements of your particular license and in your particular state. Please be sure you review this template and customize the language, policies, and processes to fit what you need for your practice. 

Please note that this is for individual use only. 
 
Upon purchasing this template, the link to download the file will only be active for 30 days. Please download it to a personal device within that time frame. 

© All Designs are the property of Sula Counseling LLC. You could face legal action if you attempt to reproduce or resell this template So, please don't. 

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