top of page
Other Fees

Administrative Forms

PLEASE READ BEFORE PROCEEDING

For all administrative requests, email Dr. Whitney Smith Johnson at: wsjohnson@releaseit757.com

 

Administrative letters include FMLA and Veterans Affairs (VA) disability documentation. These are the only administrative forms completed by Release It Counseling.

  • We do not complete or certify short-term, long-term (private employer disability forms), or Social Security (SSI/SSDI) disability forms under any circumstances. Clients who require documentation for those purposes (short term, long term, or social security disability) may request a treatment summary or progress notes with a signed Release of Information (ROI) form. There is NO FEE FOR THIS. ALLOW 7-14 business days after acknowledgement of request to be processed.

  • Third-party employment verification, suitability, or administrative questionnaires for both current and former clients.

    • Please note: Any information provided will be limited strictly to the provider’s current clinical knowledge, documented treatment records, and observations made during the client’s period of active care. Release It Counseling cannot attest to periods of non-treatment, gaps in care, or client functioning outside the timeframe in which services were actively rendered. Our office is unable to speculate, supplement, or provide verbal clarification regarding information not supported by the clinical record.

Former Client Documentation Requests

  • For clients inactive from treatment for more than 6 months, Release It Counseling does not complete employment forms, disability paperwork, legal questionnaires, or other third-party provider verification forms.

  • Former clients may request copies of treatment records, progress notes, or historical documentation through a signed records release only. There is no fee associated with this. 

Fees:

  • FMLA Forms: $85 for the initial form; $45 for each follow-up or renewal.

  • VA Disability Documentation: billed per form based on the scope of request ($30 per form). If treatment summary only needed there is NO FEE. 

  • All administrative fees must be paid in full at the time of request, and formal email to Dr. Whitney Smith Johnson is required.

Processing times Varies:

  • Extensive third-party documentation requests may require 15–20 business days for completion.

    • Can include: FMLA Forms, VA Disability Documentation, or third party employment verification forms​

  • Treatment summaries are processed within 7-14 business days

  • Processing times begin once all required releases, supporting documents, and any applicable administrative fees have been received.

bottom of page