Eight steps, in your professional body's wording. Everything stays on your device, and any copy in your own cloud is encrypted before it leaves.
Bodies ask for different things: how many people act, how long records are kept, and whether you make a declaration. Tend shapes the checks and the wording to match the one you choose.
Not listed? Choose "Another body, or none" and you get the standard arrangement, with a reminder to check your own body's wording.
The printed will pack and the signed instructions carry a coded list only, never names. Names, emails and phone numbers go only into the encrypted backup, locked with your password.
Add and edit people here, or export your client list from your practice software or spreadsheet and import it again whenever things change. Re-importing adds new people and refreshes the rest; nothing is removed without you.
Want it to update itself? Tend Essentials keeps one caseload: every client you add, pause or end there lands in this list the moment it happens.
Your initiator is the person who will know first and tell your executor: usually whoever you live with. They hold the password and nothing else.
Your backup executor steps in only if your executor cannot. Your supervisor is a second route in, and someone your executor can consult.
Your executor holds instructions; the records stay where you keep them. The link to an encrypted file goes to your executor and backup in a separate message, and the password reaches them from your initiator.
For example: "encrypted file in my own Dropbox; link sent to you separately; my partner holds the password in a sealed envelope".
Your instructions need a secure, reachable place to point to. If your notes and client details already live somewhere your executor could access, you are set.
If not, that is one of the most common things writing a clinical will reveals. Tend Essentials keeps session notes, client records and this clinical will together on your own device, backed up to storage you choose. One payment, no subscription.
The signed letter contains no client information, so your executor simply keeps a copy. The link (or the exact location) goes by a different route, to your executor and your backup, and never to your initiator, who holds the password.
A single lost or forwarded message then cannot open your records.
Tend sends a short agreement to act, as a link. Your executor opens it, reads it and draws a signature on their device. The PDF is created there and emailed back to you. Attach it here and Tend Clinical Will checks it against the text you sent.
While you are well, it is one tap from repaired: re-generate the shared link from your own Dropbox, Google Drive, Proton Drive or whichever service holds it, and send it again.
A Clinical Will is a set of instructions that ensures your clients are properly cared for if you are suddenly and unexpectedly unable to practise: through illness, injury, death, or any other incapacitating event. Without one, clients may simply stop hearing from you with no explanation, no referral, and no closure. That is a significant ethical and clinical harm.
Think of it as the clinical equivalent of a standard will: something you hope never to need, but which provides essential protection if the worst happens. Clients in active therapy are often in a vulnerable state. An abrupt, unexplained ending can be re-traumatising. A Clinical Will ensures that even in the worst circumstances, your clients receive a proper ending and a pathway forward.
Completing a Clinical Will is not a morbid exercise: it is an act of professional care for the people you work with. Many therapists report that the process of completing one actually deepens their sense of professional identity and commitment to their clients' wellbeing.
Your clinical executor is the person who will carry out your Clinical Will if it becomes necessary. They are not responsible for providing therapy to your clients: they are responsible for ensuring clients are informed, supported through the transition, and referred on appropriately. The role typically involves a few hours of work at most, but requires someone who can act with sensitivity and clinical understanding.
Many therapists put off this conversation because it requires acknowledging their own vulnerability and mortality. This is understandable, and worth noticing as clinical material in its own right.
In practice, most therapists when asked feel honoured to be trusted with this responsibility. The conversation is usually much easier than anticipated. A good place to start is in supervision, or with a trusted peer.
"I'm putting together a Clinical Will and I'd like to ask you something. I'm looking for a clinical executor: someone who would contact my clients and support them to find onward referrals if I were suddenly unable to practise. It's not a lot of work, but it needs to be someone with clinical understanding. Would you be willing to take on that role? I'd be very happy to be your executor in return."
Offering to be their executor in return is both generous and practically useful: it normalises the conversation and means you both have plans in place.
Written confirmation doesn't need to be formal or legal. An email exchange is entirely sufficient. The important thing is that both parties have a clear record that the agreement exists.
"Thank you for agreeing to act as my clinical executor. I attach my signed clinical will: it contains no client information, so please simply keep a copy. The link to my records will come in a separate message, and the key will reach you from my initiator if it is ever needed. Please let me know if anything is unclear or if your contact details change. I will check the arrangement annually. [Your name]"
Use the Send to executor button in this app to generate this email automatically, then follow the step two prompt to send the link by a separate channel.
Your clinical will points to where your records are held: the full Tend app is where they can live. The biggest difference is that nothing needs updating by hand again: your caseload, this coded checklist and the encrypted backup, to Dropbox or Google Drive, all update themselves in real time as you work. Around that sit session notes, scheduling, invoicing and income, supervision log, CPD tracking and SAR export, with the same promise: everything stays on your device, one payment, no subscription. Anything you've entered here carries straight over.
Explore TendOnly someone with the password you choose below: not us, and not the storage company. Your initiator holds the password. Your executor gets the link, never the password, and your initiator hands it over if the day comes.