Biofeedback Session Emergency Contact Form

Professional Biofeedback Session Emergency Contact Form

Starting biofeedback therapy requires clear documentation of emergency protocols, baseline health information, and informed consent. This Biofeedback Session Emergency Contact Form is designed specifically for biofeedback practitioners, mental health professionals, and wellness clinics offering neurofeedback and biofeedback services.

What This Template Covers

This form template gathers essential information including emergency contact details, current stress levels and triggers, autonomic nervous system dysfunction indicators, informed consent for sensor placement, and expectations around home practice between sessions. It's structured to support both initial intake and ongoing client safety while establishing clear therapeutic boundaries.

Perfect For Healthcare & Wellness Professionals

Whether you're a licensed biofeedback therapist, psychophysiologist, holistic health practitioner, or wellness center offering stress management services, this template helps you:

• Document emergency protocols with primary and secondary contacts
• Establish stress baselines to measure progress throughout treatment
• Screen for autonomic dysfunction that may require medical referral
• Obtain informed consent for sensor placement and monitoring
• Set realistic home practice expectations to maximize therapeutic outcomes

Streamline Your Practice with Paperform

Built on Paperform's flexible platform, you can customize this form to match your practice branding, add conditional logic to show follow-up questions based on responses, and automatically send submissions to your practice management system or CRM. Integrate with Google Sheets or Airtable to track client progress, or use Stepper to automate your intake workflow—from form submission to calendar scheduling to sending pre-session preparation materials.

For practices requiring signed consent forms, pair this with Papersign to automatically generate and send legally binding consent agreements based on each client's specific sensor placement and treatment plan.

This SOC 2 compliant form ensures your client data remains secure and confidential, meeting the professional standards expected in therapeutic settings.