Free therapy package enrollment form — clients choose a session bundle, record payment preferences and confirm the terms as a dated agreement trail.
Quick answer
Free therapy package enrollment form — clients choose a session bundle, record payment preferences and confirm the terms as a dated agreement trail.
Disclaimer: this template records enrollment choices for licensed practices; it does not process payments and is not legal or financial advice. Payment and refund terms must comply with local consumer rules.
Signature note: terms acknowledgment is captured as checkbox plus typed name plus date — an agreement trail, not a certified electronic signature.
Buying a session bundle is a commitment conversation — what is included, how it is paid for, what happens to missed sessions. This enrollment form lays out real packages, captures payment preference and invoicing details and records terms acknowledgment as an agreement trail (checkbox, typed name, date), so the admin conversation happens once, clearly, at sign-up.
Fillable sample form preview (live once the app is published).
The package, session-count and payment-option choices.
Bundles described in plain terms at the choice point.
How clients want to pay, recorded upfront.
Checkbox plus name and date as an agreement trail.
Timing and constraints collected with enrollment.
From copy to a signed-up package in four steps.
Import the sign-up form into your workspace — free.
Names, session counts and terms you actually offer.
Choices and preferences in five minutes.
Enrollment answers flow to your dashboard.
Who offers it — practices with bundled therapy plans.
Enroll without renegotiating terms every time.
Structured sign-up across cohorts.
One enrollment record per household.
What makes this package signup simple to choose and track.
A preview of the real fields — replace example packages with yours.
