Going out-of-network shouldn't mean building your practice's paperwork from scratch.
The Private-Pay Therapist Practice Kit is the complete operations kit for LCSWs, LPCs, psychologists, and counselors running (or launching) a private-pay practice: a 7-sheet Excel workbook that plans your fees and tracks your money, plus 9 client-ready document templates covering intake, informed consent, superbills, Good Faith Estimates, cancellation policy, and session notes.
WHAT'S INSIDE (exact contents):
Out-of-network / private-pay therapists, counselors, and psychologists — solo or small group — who want admin templates that respect clinical privacy instead of generic business forms.
Every tracker uses initials or pseudonyms only. No worksheet asks for patient names, emails, or identifying data. All sample entries are fictional and labeled SAMPLE.
Business and administrative templates ONLY. This kit is not legal advice, clinical advice, or tax advice; it contains no treatment protocols, no diagnosis content, and no coding directives. HIPAA, licensing, and insurer compliance remain the practitioner's responsibility. Review every template with your attorney and billing advisor and verify current requirements (including No Surprises Act / Good Faith Estimate rules) before client use. Financial projections are computed from your inputs — illustrative, not promises of income.
FORMAT: XLSX workbook + DOCX templates + fillable PDFs + guide PDF. Instant download.
No — by design, every tracker uses initials or pseudonyms only. No worksheet asks for patient names, emails, or identifying data, and all sample entries are fictional and labeled SAMPLE.
6 DOCX templates — client intake form, informed-consent-for-private-pay, superbill, Good-Faith-Estimate worksheet, cancellation policy, and a session-notes template (SOAP + DAP) — with 3 of them (intake, superbill, Good Faith Estimate) also as fillable PDFs.
It combines your session fee and sessions/week scenarios with 5 sliding-scale tiers to project annual revenue. Projections are computed from your inputs — illustrative, not promises of income.
No — business and administrative templates only. The kit is not legal advice, clinical advice, or tax advice; it contains no treatment protocols, no diagnosis content, and no coding directives.
Review every template with your attorney and billing advisor and verify current requirements (including No Surprises Act / Good Faith Estimate rules) before client use; the templates must be customized to your practice.
Contact Dasti Deals through your Gumroad library.
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