Client termination form Client Name(Required) First Last Client Email(Required) Enter Email Confirm Email Do you want to add a second Client Name and Email?(Required) No Yes Second Client Name(Required) First Last Second Client Email(Required) Enter Email Confirm Email Attestation of termination(Required) The client and I had a termination session, the client reached desired therapy outcomes, and our closing out was generally positive and upbeat as it regarded the work we've done together.Date of Termination Session(Required) MM slash DD slash YYYY Total Number of Sessions(Required)Therapist Name(Required) First Last CAPTCHA Δ
