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Client Intake Packet

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Client Intake Packet

$29.95
Client Intake Packet
Client Intake Packet

Home / Shop

Client Intake Packet

$29.95
Model Number: 3638355
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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  • Description
  • Specifications

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

The packet includes the following documents:

  • Welcome Email template
  • Adult Client Intake Form 
    1.  
  • Pediatric Comprehensive Client Intake Form 
    1.  
  • Adult Professional Services Agreement 
    1.  
  • Pediatric Professional Services Agreement
    1.  
  • HIPAA Info and Consent form
    1.  
  • Photo and Video Consent form
    1.  
  • Release of Information form
  1.  

Packet includes:

Marketing Packet Materials

  • Customizable Cover Sheet for marketing folder
  • Customizable Business Plan to present to prospect, with sections on clinical, marketing, and business aspects of music therapy for their organization
  • Customizable Appendix cover sheet

Appendix Items

  • Assessment template
  • Cost Effectiveness Research 
  • Sample Outcomes Report
  • Music Therapy Job Description
  • Patient Response Sheet
  • Music Therapy Referral Form