This form can be used by mental health providers to full the required good faith estimates of expected charges. This requirement goes into effect in January 2022.  A Good Faith Estimate must be provided within 3 business days. Information regarding services must be furnished within 1 business day of scheduling a service to be provided in 3 business days and within 3 business days of scheduling a service to be provided in at least 10 business days.  We recommend using the Psychology Forms Filler to individualize this form for your practice.   (2021, practice management, financial, forms)

This information sheet contains basic guidelines for those new to telehealth, with resources concerning training, reimbursement, and other telehealth practices. (0420)

This form can be used to get informed consent for telehealth services.(0320)

This form covers services, appointments, fees, and more. Modify to fit your own needs.