Creating a Therapist Service Agreement is easy and convenient using LawDepot’s template. Collect all the information you need before you start filling out the questionnaire, and remember to double-check the details as you go.
You will need to include the following:
Choose the type of therapy you offer and describe the services you’ll be providing your patient. Next, our questionnaire will prompt you to select the state where the therapy will occur. Rules and regulations vary from state to state, and your Therapist Service Agreement will be customized to the jurisdiction you select.
Include information about the sessions. You can choose to set a start and end date for the treatment, set a specific number of appointments, or offer appointments on an ongoing basis. Also, you can add information about the frequency and duration of the appointments.
Provide your name and address, and do the same for your patient.
If your patient is a minor, you must also include the name and address of their parent or guardian. In this case, the agreement will be between you and the parent or guardian.
State the amount you will bill your patient per session or per hour. If your patient is paying a deposit before the treatment begins, include the deposit amount.
Decide how long the patient has to pay the invoices and what interest rate you’ll charge for late payments. You should also include details about the patient’s insurance, if applicable.
Include whether or not you’ll be available to your patient outside of the agreed-upon sessions and if you’ll be charging them for any additional expenses. Add instructions for how your patient can contact you with confidential information.
You can also choose to add additional clauses if there’s other information you need to cover.