Clinical Forms & Templates
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Court Letter
Please make a copy of this letter to produce a customized letter to a third-party judiciary contact or organization.
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Student Focus Team Request Letter
A Student Focus Team (SFT) meeting request form is a document used by parents, teachers or behavioral health specialists to formally request a meeting with a school-based team to address a student's educational, behavioral, or emotional concerns. The form initiates a process that involves collaborating with a team of school staff to develop a plan for student support.
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Emotional Support Animal (ESA) Letter
What is an ESA Letter? An ESA letter for a dog is a document provided by a licensed mental health professional that confirms a person has a mental or emotional health condition and that their dog provides necessary emotional support as part of their treatment. This "prescription" allows the individual to live with their dog in housing that might otherwise have "no-pet" policies or charge pet fees, under the Fair Housing Act (FHA). A legitimate ESA letter includes the individual's name, confirmation of their qualifying condition, and the provider's credentials, but does not share specific diagnoses
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Gender Affirming Care Letter (Non-Surgery)
A non-surgical gender affirming care letter is a document from a mental health or other qualified healthcare provider that affirms a person's gender identity and their readiness for non-surgical gender-affirming treatments like hormone therapy or blockers. These letters are often required by insurance companies to approve coverage or by providers to ensure the individual understands the treatment and its potential effects. The letter typically includes the patient's affirmed name and pronouns, their gender identity, and confirmation of their capacity to make informed medical decisions regarding their treatment.
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Gender Affirming Care Letter (Surgery)
A surgical gender-affirming care letter is a required document from a mental health professional for most gender-affirming surgeries, confirming the patient is mentally, emotionally, and socially prepared for the procedure and its lifelong implications. The letter, often called a "Letter of Readiness" or "Surgery Readiness Letter," documents persistent gender dysphoria, informed consent, and the patient's stability and capacity to make complex decisions, which is crucial for insurance coverage and surgeon approval.
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Medical Evaluation Letter
A therapist medical evaluation letter is a formal document written by a mental health professional that provides an assessment of a patient's psychological state. It is often used to support a patient's claims for legal matters, insurance coverage, or accommodations.
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Medication Management
A therapist medication management letter isn't a formal type of document, but rather a communication from a therapist (often a psychiatrist or clinical psychologist) to another provider, such as a primary care physician or a client's family, that informs them about the patient's medication status, how it relates to their treatment, and the therapist's recommendations for its use. These letters are common in mental health treatment to ensure comprehensive care, especially when medication management is part of the overall treatment plan.
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Sick Letter
A therapist "sick letter" is an official letter from a mental health professional, like a therapist or psychologist, that confirms a client needs time off for mental health treatment or recovery. The letter typically serves as verification of the client's care, requests a leave of absence for medical reasons, and provides specific dates without revealing sensitive diagnostic information, protecting client confidentiality while meeting employer or school requirements.
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Name Change
A therapist name change letter refers to the formal communication a therapist sends to clients, colleagues, and other parties to announce a change in their professional name, which is distinct from a client's request to change counselors or the internal process of the therapist changing their name legally. Therapists use these letters to inform their network about a new first name or, less commonly, a professional alias, providing necessary details about their practice and a clear call to action for how to address them moving forward.
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Verification of Services Letter
A therapist verification of services letter is a formal document from a mental health professional that confirms a client's participation in therapy, dates of attendance, and engagement in treatment, often for employment, academic, or legal purposes. It serves as official proof of the client's commitment to mental health care without revealing specific diagnoses or sensitive clinical details, thereby maintaining confidentiality.