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Healthcare
Behavioral Health

Consent for therapy services

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A client consent form documents that your client agrees to therapy and understands your practice's policies, including privacy rules and payment terms.

Form Template Preview

Submit this form to see what a completed submission looks like inside Hushmail:

Quick facts about this form

Why Hush™ Secure Forms

You’ll make your admin and documentation easier because:

required-field

If your client skips a required field, the form will prompt them to fill it out. No more chasing after clients to fill out missing info.

submission

Your client’s submission will live in Hushmail, where you can keep all submissions secure and organized in folders.

pdf

You can also download a PDF of the submission if you want to file a separate copy elsewhere, like your EHR.

Done-for-You Form Building Service

Don’t see a form template you like?
Get us to build your perfect form.

For only $25 per form:

Customer Care will build your secure web forms exactly the way you want them.

Our done-for-you form building service is perfect if you’re busy launching your practice or just need a hand.

If you’re already a Hushmail customer, get started by sending a quick message to Customer Care.

How it works:

  1. 1.

    You give us the form(s) you’re currently using in your practice.

    forms-you-are-using
  2. 2.

    You get a dedicated Customer Care rep to oversee the service and answer questions.

    dedicated-scustomer-care-rep
  3. 3.

    You end up with custom secure web forms that are easy for your clients to fill out.

    custom-secure-web-forms

Personalized support to go along with your secure web forms

Rated 5 out of 5 stars Invited Invited
Lisa J Fox

Things are working well and I have no…

Things are working well and I have no complaints. I have no prior experience with this type of service to compare it to, but once I figured out how to make the needed form (I received help right away in dealing with my confusion with a REAL LIVE person. That means a lot! ), everything has been smooth and simple. Thanks a bunch!

Rated 5 out of 5 stars Invited Invited
Michael Trexler

Exceptional product and customer service!

The product and customer service are both exceptional. To maintain security compliance with patients, Hushmail is worth every penny. I especially like form templates. Makes my job easier.

TRY 14 DAYS FREE

Not sure if Hushmail is right for you? Try 14 days free

We know it’s not easy choosing the right technology for your practice or clinic.
That’s why you can try Hushmail for Healthcare 14 days free.

HIPAA-compliant email

  • Encrypted email that protects you and your clients
  • Clients can send encrypted emails and replies to you
  • iPhone app for notifications on the go
  • Custom email address that matches your website
  • Plans suitable for solo and group practices
  • Automatic archiving to support your HIPAA compliance
  • Template library with ready-to-go emails
  • Create and save your own email templates
  • Support via email and phone on every plan

HIPAA-compliant forms

  • Same encryption as email
  • Easy drag-and-drop form builder
  • Customizable with 15+ fields
  • Legally binding e-signatures
  • Template library with ready-to-go forms
  • Optional done-for-you form building service
  • Multiple ways to publish or share your forms
  • Timestamped activity record on each e-signable form
  • Support via email and phone on every plan