Therapist Toolkit
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Client Therapy Letter Generator
Import .json
Clear Form
Select Letter Type:
Client's First Name:
Client's Last Name:
Clinician's First Name:
Clinician's Last Name:
Upload Signature Image:
Clinician's License Type:
Custom License Type:
License Number:
Clinician's Email:
Client Since (Month and Year):
License Expiration Date:
Animal Type:
Description of Pet:
Clinical Information
Coding System:
ICD
DSM
Select Diagnosis:
Accommodation Builder
Add a Suggested Accommodation:
-- First Select a Diagnosis --
Add
Or Write a Custom Accommodation:
Add Custom
Selected Accommodations for Letter:
No accommodations added yet.
Recipient Name/Department:
Institution Name:
Referred To Provider/Practice:
Reason for Referral:
Client's Primary Diagnosis:
Client Since (Month and Year):
Client Date of Birth:
Generated Letter:
Generate Letter
Print Letter
Export .json
Sources
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