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Printable PDF | Non-editable | Immediate download
This printable template bundle is designed specifically for mental health and therapy providers who work with personal injury cases involving motor vehicle accidents (MVA). Save time and maintain professionalism with clean, ready-to-use documents that can be customized to your practice’s letterhead.
What’s Included:
  • Letter of Intent to Lien – to notify attorneys or insurers of your billing policies and intent to secure reimbursement.
  • Lien Agreement – for the patient to sign, acknowledging responsibility and authorizing you to bill under a lien.
  • Submission & Tracking Checklist – to keep your documents organized and ensure timely follow-up.
These templates are fully printable and can be adapted to your unique branding. They are non-editable digital PDFs, designed for physical use or to be rewritten in your own style.
Perfect for:
✅ Solo and group mental health providers
✅ Outpatient therapists working with MVA cases
✅ Practices needing legal documentation to protect their services under PI claims
 
Tax is included in the listed price. No refunds on digital products. Download available immediately after purchase.
© 2025 Golden Bee Billing Services, LLC – For purchaser use only. Not licensed for resale, distribution, or use by third-party billers.

MVA Mental Health Lien Bundle™ – Printable Templates for Clinical Use

$59.50Price

  • Tax included- this is a one-time payment. No additional taxes or fees will be added at checkout.

    Printable PDF. Instantly delivered.

    Description (Key Points to Include):

    • Includes a Letter of Intent to Lien, Patient Lien Agreement, and Submission Checklist

    • Not editable – formatted for printing and transcription onto your own letterhead

    • Designed specifically for mental health providers working with MVA or personal injury claims

    • Developed by experienced billing professionals to ensure submission-readiness and legal clarity

    • Ideal for use with attorneys, adjusters, or insurance carriers

    • Save hours of formatting and guesswork with this professional template set

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