Client Registration Form Template (Therapy)


Use this simple client registration form to collect essential information from your new clients.


Product Description

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!

Additional information

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