Client Registration Form Template – Therapy

client registration form template

Client registration forms in private practice need to be short and uncluttered but still capture all necessary information. Our client registration form template for a psychology private practice does just that.

In two pages, it covers:

  • General client details & contact information
  • Referrer details & Medicare/Insurance
  • Presenting issues
  • Payment details, and
  • Cancellation policy & consent.

Download your free copy of this editable form and make it yours by inserting your practice details. Or use this as a guide to create your own form!

or register to download!