🚨 A verbal “Don’t worry, I’ve got it” won’t cover your missed session fee. 🚨
What happens when a client no-shows… and then ghosts you on payment?
This Financial Agreement & Consent Template protects your practice with clear, professional terms around payment, cancellations, insurance, and billing—so you don’t have to chase down money or play phone tag with an insurance rep.
Keep it clear. Keep it documented. Get paid on time. Every time.
Your Financial Agreement & Consent Template comes with instructions on how to customize your agreement for your specific situation.
Instant digital download of the Agreement.
Customizable sections outlining session fees, accepted payment methods, cancellation policies, and insurance responsibilities
Clear terms regarding client financial responsibility, delinquent accounts, and late cancellation fees
Language to protect your clinical and billing information in compliance with HIPAA and state laws
Optional clauses for assessments, payment plans, and card-on-file authorization
Plus: built-in legal protections to limit liability and establish clear expectations from day one
A customizable financial consent form that outlines your therapy practice’s billing, payment, and cancellation policies.
It sets clear expectations with clients, protects your income, and helps ensure you get paid—on time and in full.