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Is There a Safer Way to Send Therapy Clients Forms, Letters and Invoices Than Email Attachments?

Therapy practices email letters, forms and invoices as attachments to personal inboxes. SpiderHunts builds secure client document sharing with access logs.

Updated 2 min readBy SpiderHunts Technologies

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Quick answer — TL;DR

Attachments go to the wrong person, sit forever in inboxes and cannot be withdrawn. We set up secure sharing where clients receive a link to a document, sign in to open it, and the practice can see when it was viewed and withdraw it if needed, with the file stored in your system rather than theirs.

A letter sent to the wrong Sarah

You need to send a client a letter confirming attendance for their employer, and a statement of fees for their insurer. You attach both to an email and type the first few letters of the name. The autocomplete picks a different Sarah. You notice a second after pressing send.

Even when it goes to the right person, the attachment now lives in their inbox indefinitely, possibly on a shared family computer, and in your sent folder too. You have no way to know if it was opened, and no way to take it back.

Why attachments are the default

Email is what everyone already has. It is quick, needs no setup and clients understand it. The risks are invisible until the day something goes wrong.

  • Autocomplete makes misaddressed emails easy.
  • Attachments are copies you can no longer control once sent.
  • Client inboxes may be shared, or accessible to an employer.
  • Your sent folder becomes an unplanned second store of client documents.
  • No record of whether the client actually received or opened the document.

The cost when it goes wrong

SituationConsequence
Misaddressed emailA data incident you may need to record and possibly report
Document seen by someone else at homeA breach of the client's privacy
Copies in sent foldersMore places to search and delete when retention applies
No proof of deliveryUncertainty when a client says they never got it
Worry every time you press sendA small daily friction

What must happen after a misaddressed email is for your own policy and adviser to guide. The practical fix is to make it much harder to happen, and much less serious if it does.

Secure sharing for client documents

  1. Documents stay in your practice system or a locked-down store in Microsoft 365 or Google Workspace.
  2. Clients get an email with a link, not the file. The email itself says nothing sensitive.
  3. Opening the link needs a second step: a one-time code sent to the client's phone, or a login to a small client portal if you want one.
  4. You see when the document was opened, and can withdraw access at any time, including straight away if a link went to the wrong person.
  5. Links expire after a period you choose, so documents do not sit open forever.
  6. Clients can upload documents back the same way, so returned forms land in the right client file.

Many practice systems include a client portal or secure messaging. If yours does, setting it up properly is usually the first thing we suggest.

For clients who find the extra step difficult, you can keep a plain email option on their record by agreement, so the secure route is the default rather than a barrier.

What changes

A misaddressed link becomes a moment's embarrassment rather than an incident: you withdraw it, and the wrong person never sees the file because they cannot pass the second step. Clients open documents when it suits them, and you can see that they did.

Your sent folder stops being a second filing cabinet, and retention only has to be applied in one place.

Is it time to change this?

  • You send letters, statements or forms as email attachments.
  • You have sent, or nearly sent, an email to the wrong client.
  • Clients have mentioned sharing an inbox or computer.
  • Your sent folder holds years of client documents.
  • You cannot tell whether a client received a document.

FAQ

Frequently asked questions

The questions readers ask us after this guide.

Still have a question?

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Is this harder for clients?

Slightly: one extra step to open a document. Most clients find a code sent to their phone straightforward. You can keep a simple option for clients who struggle.

Can I still use email for booking messages?

Yes. Routine messages with nothing sensitive can stay as normal email. Secure sharing is for documents.

Does it work with my practice system?

Often your system has something built in, and we set that up. If not, we add secure sharing that files documents back into it.

What happens to links after a client leaves?

They expire on the schedule you set, and access can be revoked for the whole client record in one step.

Keep reading

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