Spring Clean Your Private Practice: A 2025 Refresh for Therapists Who Do It All

There’s something about spring that whispers: start fresh. And in private practice, that invitation can be more than just a tidy office—it’s an opportunity to recalibrate your systems, reset your mindset, and make sure your business is working for you, not the other way around.

After all, you didn’t build your practice just to stay buried in to-do lists and outdated policies. You built it to do meaningful work, with clarity and purpose. So let’s give your practice a deep, strategic spring cleaning—one that touches every corner of your business, from compliance and finances to forms and workflows.

Here’s your 2025 Private Practice Spring Cleaning Guide—because you deserve a practice that’s as healthy and resilient as the care you provide.

Start with the Essentials: Legal & Compliance Check

1. Opt Out of Medicare (If Necessary)

As of 2024, LPCs and LMFTs are now recognized Medicare providers. If you do not want to accept Medicare, you must formally opt out—otherwise, claims submitted by clients could create issues.

More details here

2. Review Your Insurance Panel Info

Now’s a great time to log in to each insurance portal you’re credentialed with and confirm:

  • Your address and NPI are up to date

  • Your services and availability are accurate

  • Your rates reflect what you should be earning

    (Pro tip: This is a great time to request a raise!)

Refresh Your Finances

3. Update Your Budget & Review Subscriptions

Print out the last 3 months of statements and look for:

  • Services you no longer use

  • Subscriptions that snuck in quietly

  • Opportunities to consolidate or cut costs

4. Evaluate Your Current Rates

Have you given yourself a raise recently? Are there clients paying significantly below your current fee? It might be time to re-evaluate and realign.

Ethical and values-driven practices can still be financially sustainable. It’s okay to earn more while continuing to serve well.

Update Your Forms, Fees, and Files

5. Review and Update Policies

Policies should be reviewed annually. Make sure you’ve included:

  • A clear cancellation policy

  • A credit card on file policy

  • Updated contact info, fees, and telehealth consents if applicable

6. Resend Forms to Long-Term Clients

Anyone who’s been with you over a year should re-sign your documents. And don’t forget those teens who turned 18—they now need to sign as adults.

7. Inactivate Old Clients

If it’s been a while since you heard from someone:

  • Reach out to reengage, if appropriate

  • Or send a discharge notice and close the chart

This also helps clean up your EHR and your emotional bandwidth.

Tidy Up Your Digital Presence

8. Update Your Website

  • Are your services, fees, and groups listed correctly?

  • Do your booking links work?

  • Is your headshot current?

Ask a friend to go through your site—they’ll often catch things you miss.

9. Review Online Directories

Make sure your information is accurate and consistent across platforms like:

  • Psychology Today

  • TherapyDen

  • Alma

  • Headway

  • Open Path

  • Your state licensing board

Update fees, accepted insurance, bios, and photos.

10. Refresh Your Google Business Profile

If you haven’t claimed yours, do it now—it’s free and improves local search visibility. If you already have one, update:

  • Services

  • Office hours

  • Photos

  • Announcements

11. Edit Your Voicemail & Email Signature

Make sure everything is current. Add helpful info like:

  • How to book an appointment

  • Your updated fees

  • The 988 Mental Health Crisis Line

Streamline Your Systems

12. Fix What’s Bugging You

What process keeps tripping you up? What do you keep saying you’ll fix when you “have time”?

This is your time.

Maybe it’s:

  • Your client intake flow

  • Your note templates

  • How you manage referrals or supervisees

  • Scheduling and reminders

Small tweaks now can save you big headaches later.

13. Clean Up Digital Clutter

  • Archive old Google Drive folders

  • Delete outdated form templates

  • Reorganize your EHR

  • Automate or template recurring tasks

A digital clean-out can reduce stress and boost efficiency.

Reconnect with Your Mission

Let’s zoom out for a moment.

  • Are you still working with the clients who light you up?

  • Are there services you’re offering out of obligation instead of alignment?

  • What would make your work feel more joyful this year?

Spring isn’t just about getting rid of what’s broken. It’s about making space for what you actually want to grow.

You Don’t Have to Do It All at Once

If this list feels like a lot—it is! But you don’t have to tackle it in a weekend. Pick one area a week, or even just one task a day.

The goal here isn’t perfection. It’s clarity. It's leadership. It’s building a practice that actually supports the life and mission you’ve chosen.

Your work is sacred. Your time is valuable. And your practice deserves to run as beautifully as the care you give every single day.

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