About this template
A professional counseling contract is essential for establishing clear boundaries, expectations, and legal protections between a therapist and their client. This template helps you outline critical service details, including session frequency, cancellation policies, fee structures, and the scope of professional support. By using this structured form, you ensure that every client is fully informed before beginning their therapeutic journey.
Doc2Form makes it easy to digitize your practice’s intake process. Instead of managing paper files, you can collect signed agreements directly into your Google Drive. This template is designed to be clear, professional, and easy for clients to complete on any device, helping you maintain organized records while focusing on what matters most: your clients' well-being.
Key features
- Clearly define session fees and payment deadlines.
- Include customizable sections for cancellation policies.
- Capture electronic signatures for formal agreement.
- Organize client data automatically in Google Sheets.
- Mobile-friendly design for easy client access.
Use cases
- Private practice therapy intake sessions.
- Online counseling service agreements.
- Group therapy participation waivers.
- Student counseling program enrollment.
What this form collects
- Client Full Name (Short answer)Please enter your legal full name.
- Date of Birth (Date)Required for patient identification.
- Counseling Services Terms (Multiple choice)I understand that counseling is a collaborative process and I agree to attend scheduled sessions as agreed upon with my therapist.
- Cancellation Policy (Multiple choice)I understand that cancellations must be made at least 24 hours in advance to avoid a late cancellation fee.
- Fee and Payment Agreement (Short answer)I agree to pay the session fee of $_____ at the time of service, or as otherwise arranged with my counselor.
- Client Signature (Short answer)Please type your full name here to serve as your electronic signature.
- Date of Signing (Date)Today's date.
FAQ
Is this contract legally binding?
While this template provides a solid structure for your agreement, we recommend having your final document reviewed by a legal professional to ensure it meets local regulations and specific practice requirements.
Can I add my own practice policies?
Yes. Once you generate the form, you can easily add, remove, or edit sections to include your specific office policies, confidentiality statements, or emergency contact procedures.
How do I collect signatures?
You can use the text field for clients to type their full name as a digital signature, or integrate a third-party e-signature add-on for Google Forms if you require a formal graphical signature.
Can I share this form via email?
Absolutely. Once the form is set up, you can send a direct link to your clients via email or embed it directly onto your practice's website for easy access.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.