Medical Services Billing Forms

Elite Package

includes: Authorization for Release, Authorization to Release Information, HIPPA, Medical Records Transfer Request, Past Mental Health Form, Psychiatric Mental Health and Controlled Substances Policies and Procedures, Psychiatric Mental Health Informed Consent, Welcome Letter, Academic Accommodation Letter, Assignment of Insurance Benefits, Benzodiazepine Medication Use Consent, Child/Minor Intake, Collection Letter, Controlled Substance Agreement, Discharge Termination Letter, Email Signature Confidentiality Template, Excused Absence Form, Good Faith Estimate – Self-Pay, Itemized Receipt, Letter of Progress, No Show/Cancellation Policy, Patient Treatment Plan, Progress Note Brief Mental Status Exam Cheat Sheet, Psych Testing Assessment and Evaluation Consent, Sliding Scale Agreement, Office Forms, ERISA Appeal Template, and Suicide Risk Assessment.