FREE Documentation Liability Release Form
by Mari A. Lee, LMFT, CSAT-S
It is important for therapists to have a thorough clinical consent client form packet that outlines clear policies on court fees, letter preparation fees, as well as a social media agreement, insurance or fees, secret keeping, bio/psycho/social assessments, and every other aspect of supporting standard of care. The free form below does not include the clinical therapy forms, consents, sign off pages, or materials packet created to support legal and ethical documentation and policies of private practice clinical professionals. You can find that material HERE.
In order to reduce legal and ethical risk to the therapist when a client requests a document or report to be released to them, such as their SDI report, other assessments and instruments, or file summaries, it is important that the therapist have a signed release of liability document for clients who are requesting any information or materials to be released by the therapist into the client's own care.
The Clinical Documentation Liability Release Form is a document that Mari A. Lee, LMFT, CSAT-S is making available at no charge to licensed therapists and/or Certified Sex Addiction Therapists as a support to fellow licensed clinicians. This is formatted in a downloadable Word document so that the clinician can easily edit with their own practice information and tailor to their practice needs. NOTE: DO NOT DOWNLOAD FROM A SMART PHONE OR TABLET.
Important reminder: With any document or form, it is up to the clinician to make sure the information contained in that form meets the legal and ethical requirements and standard of care within their state, country or region. It is advisable to always check with your licensing board or legal counsel before using this or any document within your practice, clinical organization and with clients. This document is for licensed clinical professional only and you assume all risk and liability if you choose to download and use this document within your practice and with your clinical clients.
Important notes before purchasing:
This form is for licensed therapists and CSAT clinical professionals for use within their private practices.
This form should not be shared with other clinical professionals without the express written consent of Mari A. Lee, LMFT, CSAT-S.
Every state has their own governing board, and as such, legal and ethical guidelines may differ. Please check with your state’s legal and ethical mandates to make sure that you are operating within your scope of practice, duties and experience and providing the standard of clinical care as mandated by your state.
4. By providing this document, Mari A. Lee, LMFT, CSAT-S DBA Growth Counseling Services is NOT providing legal, ethical, clinical, treatment planning, treatment recommendations, or any other business or clinical practice advice related to your work as a therapist, or business advise on how you choose to use this document and material. You agree to take sole responsibility for all outcomes and will not hold Mari A. Lee, LMFT, CSAT-S DBA Growth Counseling Services responsible legally or ethically in using this document.
The download is simple - just click on the button below to add to your shopping cart. And purchase FROM YOUR COMPUTER OR LAPTOP as the link will not work on smartphones or tables. Note: you will need to customize the form for your individual practice with your address, phone number and your logo. You will be emailed a link for downloading that is active for 24 hours. Click on the link in the email, follow the simple steps, and download your client form packet!
Or if interested in the Complete Clinical Forms Package, click here >>
PLEASE NOTE: BECAUSE THIS IS A FREE PRODUCT, MARI WILL NOT BE RESPONDING TO QUESTIONS, EMAILS OR CALLS HELPING YOU DOWNLOAD THIS. HOWEVER, IF YOU PURCHASE ANOTHER PRODUCT, YOU MAY CONTACT MARI REGARDING THE PAID PRODUCT.