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Client Documentation & Support

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Mental Health Music Therapy Assessment

Mental Health Music Therapy Assessment

$2.95
This one-page mental health music therapy assessment gathers information on patient basic information, music preferences & history, uses of and affective responses to music, expressive ability, and assesses care plan needs and goals in the following areas:

Coping Skills
Sensory Function
Psychosocial Needs
Altered Neurologic states
Spiritual Needs
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SEMTAP Report Template

SEMTAP Report Template

$3.95
This SEMTAP Report Template provides a simple and easy-to-follow format for creating your SEMTAP client report. You simply fill in the data you collect from the client, and let the template guide you in where to include the information.

This template is recommended to be paired with the SEMTAP Process Description document.
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Pediatric Intake Comprehensive *Single Item*

Pediatric Intake Comprehensive *Single Item*

$4.95
This pediatric intake packet includes sections to gather all necessary information from new clients. It includes client and caregiver info, as well as quick-glance yes/no questions about each area of the child's development. The therapist can then look at these areas and quickly see what domains to address and observe during the evaluation period. 

(This template is included in the Intake Packet bundle)
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Client Professional Services Agreement Template

Client Professional Services Agreement Template

$4.95
It is important to communicate your company policies and guidelines when new clients begin services. This professional services template will give you the information you need to communicate with clients, including policies for absences and tardiness, illness, fees and billing, and confidentiality. 

This packet includes templates for both adult and pediatric clients. 

This item is included in the Client Intake Packet bundle
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Release of Information Form

Release of Information Form

$4.95
As a clinician, you may come across circumstances where sharing client data between professionals is helpful not only to the client, but to other service providers. This Release of Information Form will allow you to do this while staying within HIPAA regulations.
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Weekly Client Data Template

Weekly Client Data Template

$4.95
This weekly client data mini-bundle includes templates for tracking weekly data for either individual clients or groups. This data tracking system is succinct, efficient, and entirely customizable. The packet even includes a sample data document so you can see how it is used.

Included in this purchase:

Customizable weekly client data template
Customizable weekly group data template
Sample client data using this form

This package is part of the Client Intake Bundle packet.
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Individual Music Therapy Assessment Template

Individual Music Therapy Assessment Template

$7.95
This assessment form was carefully designed to assess a variety of domains for clients with special needs. It is organized in the following format:

Client Information
Interviews
Client Observations in domains (social, cognitive, motor, emotional, speech & language)
Recommendations
Treatment Plan

This is an intuitive, easy to follow assessment document that will allow you to use your clinical judgment to identify areas of need for the client. We have been using it with our practice for the past 6 years, and I'm thrilled to offer it to you!
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Client Intake Packet

Client Intake Packet

$29.95
This packet is intended to use when bringing on a new private music therapy client. It includes a welcome email template, intake forms, services agreements, HIPAA forms, photo/video consent, and release of information forms. All contents are provided in word document form in order to make it easier for you to customize them to meet your own needs. 
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Full Facility Contract Template

Full Facility Contract Template

$29.95
This facility contract includes all of the elements you will need in place when contracting with outside agencies to provide services. It outlines all of the necessary elements of a business agreement in clear terms, including recitals, qualifications, services, relationship of parties, insurance, indemnification, confidentiality, billing and compensation, term and termination, and general provisions. Also included is an Exhibit A.

This template is fully customizable to your own needs, and will provide you with a solid foundation when building your private practice. 
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