Why am I Requested to Fill Out Paperwork at the First Session?

You took the first step. You picked up the phone and called a counselor. The first appointment is set. The therapist may request you come in early to complete paperwork or some are now email the paperwork to you, so you can fill it out in the comfort of your own home. You see the packet...you cannot believe how much paperwork there is to complete! It begins to feel overwhelming. Why do some therapists have you complete paperwork while others don't?

In the world of insurance and lawsuits, now more than ever many therapists are outlining their policies and procedures to protect you, the client, and themselves. If all the policies are spelled out, then you know exactly what to expect from the therapist and the therapeutic process. From a therapist's point-of-view, clients can feel anxious and overwhelmed coming into the first session and may not remember the policies discussed. For this reason, many therapists will require you complete the paperwork.

Another possible reason for the paperwork is the HIPAA (Health Information Portability and Accountability Act) laws, which went into effect in April 2003. As clients choose to use their insurance for counseling, therapists are turning to the internet to expedite billing procedures. Therapists who are utilizing the internet to bill for services must become HIPAA-compliant, which requires the therapist provide you with a copy of the Notice of Privacy Practices (NPP), which discusses how your health information can and cannot be used. The therapist is mandated to obtain a signature from you demonstrating you received such a copy. This doesn't mean you agree with the policy, only that you've received one.

But what if I'm not using my insurance? I'm just paying for therapy out-of-pocket. According to HIPAA law, regardless of the means of pay, if the clinician must be HIPAA-compliant, then they have to provide all clients with an NPP and treat their information according to HIPAA laws.

All in all, the paperwork, while it may seem unnecessary, protects you, the therapist and may be required by law.