Mental Health Provider Kit

The Mental Health Provider Kit is for mental health providers in Michigan who are in private practice or about to start a private practice. 

Inside the Mental Health Provider Kit, subscribers will find a comprehensive set of attorney-prepared documents tailored to comply with Michigan law and your licensing obligations. 

These documents protect you and your practice so that you can focus on what is really important:  your patients and clients.

About the Mental Health Provider Kit

Starting a psychotherapy practice can be overwhelming. Miller Johnson’s Mental Health Provider Kit, is designed to simplify the process by providing essential forms to help you manage patient interactions and other practice needs. The forms are organized by purpose and are fully editable in Microsoft Word, allowing you to customize them for your practice and seamlessly integrate them into your record-keeping system.

Your purchase includes a 30-minute consulation with Neil Marchand, the kit’s creator. During this session, Neil will answer any questions you have regarding the forms and is happy to discuss broader business considerations. He understands that new providers may not know what questions to ask, so he offers insights based on common challenges others have faced – helping you avoid potential pitfalls.

Additionally, you will be added to the Mental Health Providers subscriber list, ensuring you receive relevant updates and resources as they become available.

Neil’s goal is to support your vision while helping protect you and your practice from a legal perspective. If you need assistance with business entity formation, employment contracts, independent contractor arrangements, or leasing/purchasing of office space, he can connect you with Miller Johnson attorneys who specialize in those areas.

Neil is also happy to provide additional referrals beyond legal services. With strong connections in the mental health and business communities, he can recommend professionals in accounting, insurance, and other essential business areas who understand the unique needs of mental health providers. These referrals are made purely based on professional relationships and expertise—neither Neil nor Miller Johnson receive any financial compensation for them.

Forms Included in the Kit

In broad terms, mental health providers need three categories of forms to operate their practice:

  1. Patient Care Forms – Covering informed consent, patient interactions, information gathering, and required disclosures 
  2. Information Disclosure Forms – Used when sharing patient information in compliance with legal and ethical guidelines. 
  3.  Business Operations Forms – Supporting administrative and operational needs of a private practice.These forms are crucial for providers launching a private practice, as they ensure compliance with legal and ethical standards while protecting  both the provider and patients. Well-structured, comprehensive forms also enhance professionalism and trust, creating a secure and organized foundation for your practice.  

The Mental Health Provider Kit includes the following forms: 

Patient/Client Oriented Forms: 

  1. Professional disclosure & informed consent for treatment 
  2. Notice of privacy practices 
  3. Client intake form 
  4. Informed Consent for Telehealth 
  5. Emergency Contacts and Authorization Form 
  6. Credit card authorization 
  7. Surprise Medical Billing Disclosure 
  8. Reduced Fee Agreement 

Disclosure Related Forms: 

  1. Release of Information Authorization 
  2. MDHHS 5515 Consent to Share Behavioral Health Information 
  3. Prohibition on Redisclosure of Substance Use Disorder Information 
  4. Accounting of Disclosures Log 

Forms for Business Operations: 

  1. Business Associate Agreement 
  2. Supervision Agreement

You will also receive a form orientation guide that explains the purpose of each form and when to use it. 

 If you have any questions about whether the forms are right for your practice, or if you’d like to discuss setting up a payment plan to make the startup process more manageable, please reach out. You can email Neil at marchandn@millerjohnson.com or call  616.831.1890 to schedule an appointment.. Neil is committed to your success and believes that accessible, high-quality legal representation is key to helping you achieve your goals in private practice. 

*This kit does not include documents needed to form a limited liability company or other legal entity. Contact Neil Marchand for more information on those specific documents.* 

Mental Health Provider Kit

One Year Subscription
$1,500
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