To terminate an active or prospective client, please complete this form. Based on the selected Reason for Cancellation, the form will generate a Termination Letter. Whether the client is active or prospective, clinicians are required to fill out this form to ensure other systems and processes are synced.
If the client has not completed the Disclosure Statement/About Me, then a Termination Note is not required. Learn more here: Termination Note Expectations.