diff --git a/app/app.vue b/app/app.vue
index 12a3138..2589efa 100644
--- a/app/app.vue
+++ b/app/app.vue
@@ -1,23 +1,47 @@
 <script setup lang="ts">
   import { authClient } from './utils/auth-client'
 
+  type SessionUser = {
+    id: string
+    role?: string | null
+  }
+
   const route = useRoute()
   const colorMode = useColorMode()
   const { data: session } = await authClient.useSession(useFetch)
+  const sessionUser = computed(() => (session.value?.user as SessionUser | null) ?? null)
 
-  const { data: adminData, refresh: refreshAdminData } = await useFetch<{
+  const {
+    data: adminData,
+    refresh: refreshAdminData,
+    clear: clearAdminData,
+  } = await useAsyncData<{
     isAdmin: boolean
     isClinician: boolean
     isStaff: boolean
-  }>('/api/users/me/is-admin', {
-    server: false,
-    default: () => ({ isAdmin: false, isClinician: false, isStaff: false }),
-  })
+  } | null>(
+    'app-admin-role',
+    async () => {
+      if (!sessionUser.value?.id) return null
+      return await $fetch('/api/users/me/is-admin')
+    },
+    {
+      default: () => null,
+    }
+  )
   const isAuthenticated = computed(() => Boolean(session.value?.user))
+  const inferredIsAdmin = computed(() => sessionUser.value?.role === 'ADMIN')
+  const inferredIsStaff = computed(
+    () => inferredIsAdmin.value || sessionUser.value?.role === 'CLINICIAN'
+  )
 
   watch(
-    () => session.value?.user?.id,
-    () => {
+    () => sessionUser.value?.id,
+    (userId) => {
+      if (!userId) {
+        clearAdminData()
+        return
+      }
       refreshAdminData()
     },
     { immediate: true }
@@ -26,12 +50,13 @@
   watch(
     () => route.fullPath,
     () => {
+      if (!sessionUser.value?.id) return
       refreshAdminData()
     }
   )
 
-  const isAdmin = computed(() => adminData.value?.isAdmin ?? false)
-  const isStaff = computed(() => adminData.value?.isStaff ?? false)
+  const isAdmin = computed(() => adminData.value?.isAdmin ?? inferredIsAdmin.value)
+  const isStaff = computed(() => adminData.value?.isStaff ?? inferredIsStaff.value)
 
   const isTasksPage = computed(() => route.path === '/taskPage')
   const isDashboardPage = computed(() => route.path === '/')
diff --git a/app/components/ClientDetailModal.vue b/app/components/ClientDetailModal.vue
index f4af09d..f6b8b02 100644
--- a/app/components/ClientDetailModal.vue
+++ b/app/components/ClientDetailModal.vue
@@ -630,14 +630,11 @@
             Client Tasks
           </h3>
           <p class="mb-3 text-xs text-gray-500 dark:text-gray-400">
-            Click a form to view the client's answers. For ACE, GAD-7, PHQ-9, and PCL-5, use Email link
-            to send a portal link and clear their saved answers so they start fresh. Application,
-            physician statement, and ROI cannot be sent from here.
+            Click a form to view the client's answers. For ACE, GAD-7, PHQ-9, and PCL-5, use Email
+            link to send a portal link and clear their saved answers so they start fresh.
+            Application, physician statement, and ROI cannot be sent from here.
           </p>
-          <div
-            v-if="incompleteSendableKeys.length"
-            class="mb-3 flex flex-wrap items-center gap-2"
-          >
+          <div v-if="incompleteSendableKeys.length" class="mb-3 flex flex-wrap items-center gap-2">
             <UButton
               size="xs"
               color="primary"
@@ -656,7 +653,7 @@
               class="rounded border border-gray-200 dark:border-gray-700"
             >
               <div
-                class="flex w-full flex-wrap items-center gap-2 border-b border-gray-100 px-3 py-2 dark:border-gray-800 sm:flex-nowrap sm:justify-between"
+                class="flex w-full flex-wrap items-center gap-2 border-b border-gray-100 px-3 py-2 sm:flex-nowrap sm:justify-between dark:border-gray-800"
               >
                 <button
                   type="button"
@@ -681,7 +678,10 @@
                     icon="i-heroicons-envelope"
                     label="Email link"
                     :loading="sendingFormKey === task.key"
-                    :disabled="sendingIncompleteLinks || (sendingFormKey !== null && sendingFormKey !== task.key)"
+                    :disabled="
+                      sendingIncompleteLinks ||
+                      (sendingFormKey !== null && sendingFormKey !== task.key)
+                    "
                     @click.stop="sendFormLink(task.key)"
                   />
                   <button
@@ -737,7 +737,10 @@
                 </div>
                 <template v-if="!isClinicalFormKey(task.key) || expandedFormSubTab === 'answers'">
                   <div v-if="formAnswersLoading" class="flex justify-center py-4">
-                    <UIcon name="i-heroicons-arrow-path" class="h-6 w-6 animate-spin text-gray-400" />
+                    <UIcon
+                      name="i-heroicons-arrow-path"
+                      class="h-6 w-6 animate-spin text-gray-400"
+                    />
                   </div>
                   <div v-else-if="formAnswers" class="space-y-3">
                     <div
@@ -795,19 +798,14 @@
               <p class="text-sm whitespace-pre-wrap">{{ note.content }}</p>
               <div class="mt-2 flex flex-wrap items-center justify-between gap-2">
                 <div>
-                  <p class="text-xs font-semibold text-primary-600 dark:text-primary-400">
+                  <p class="text-primary-600 dark:text-primary-400 text-xs font-semibold">
                     {{ note.sessionName }}
                   </p>
-                  <p class="text-xs text-gray-500">{{ new Date(note.createdAt).toLocaleString() }}</p>
+                  <p class="text-xs text-gray-500">
+                    {{ new Date(note.createdAt).toLocaleString() }}
+                  </p>
                 </div>
                 <div class="flex flex-wrap items-center gap-3">
-                  <NuxtLink
-                    :to="`/clients/${clientId}/notes/${note.id}`"
-                    target="_blank"
-                    class="text-primary-600 hover:text-primary-700 dark:text-primary-400 text-xs font-medium"
-                  >
-                    Open in new tab
-                  </NuxtLink>
                   <NuxtLink
                     :to="`/clients/${clientId}/notes-editor?focus=${encodeURIComponent(note.id)}`"
                     class="text-primary-600 hover:text-primary-700 dark:text-primary-400 text-xs font-medium"
diff --git a/app/components/ClientScheduleRequestsSection.vue b/app/components/ClientScheduleRequestsSection.vue
new file mode 100644
index 0000000..31d4fe0
--- /dev/null
+++ b/app/components/ClientScheduleRequestsSection.vue
@@ -0,0 +1,289 @@
+<script setup lang="ts">
+  type ScheduleRequestRow = {
+    id: string
+    requestedStartTime: string
+    requestedEndTime: string
+    message: string | null
+    status: 'PENDING' | 'ACCEPTED' | 'DENIED'
+    createdAt: string
+    updatedAt: string
+    decidedAt: string | null
+    staffResponseNote: string | null
+    createdAppointmentId: string | null
+  }
+
+  const toast = useToast()
+
+  const {
+    data: rows,
+    pending,
+    error,
+    refresh,
+  } = await useFetch<ScheduleRequestRow[]>('/api/client/schedule-requests', {
+    getCachedData: () => undefined,
+  })
+
+  const newDate = ref('')
+  const newStart = ref('')
+  const newEnd = ref('')
+  const newMessage = ref('')
+  const submitting = ref(false)
+
+  const editOpen = ref(false)
+  const editId = ref<string | null>(null)
+  const editDate = ref('')
+  const editStart = ref('')
+  const editEnd = ref('')
+  const editMessage = ref('')
+  const editSaving = ref(false)
+
+  function toDateInputValue(iso: string) {
+    const d = new Date(iso)
+    if (Number.isNaN(d.getTime())) return ''
+    const y = d.getFullYear()
+    const m = String(d.getMonth() + 1).padStart(2, '0')
+    const day = String(d.getDate()).padStart(2, '0')
+    return `${y}-${m}-${day}`
+  }
+
+  function toTimeInputValue(iso: string) {
+    const d = new Date(iso)
+    if (Number.isNaN(d.getTime())) return ''
+    return `${String(d.getHours()).padStart(2, '0')}:${String(d.getMinutes()).padStart(2, '0')}`
+  }
+
+  function formatRange(startIso: string, endIso: string) {
+    const start = new Date(startIso)
+    const end = new Date(endIso)
+    const dateStr = start.toLocaleDateString(undefined, {
+      weekday: 'short',
+      month: 'short',
+      day: 'numeric',
+      year: 'numeric',
+    })
+    const timeOpts: Intl.DateTimeFormatOptions = { hour: 'numeric', minute: '2-digit' }
+    return `${dateStr} · ${start.toLocaleTimeString(undefined, timeOpts)} – ${end.toLocaleTimeString(undefined, timeOpts)}`
+  }
+
+  function statusBadgeColor(s: ScheduleRequestRow['status']) {
+    if (s === 'PENDING') return 'warning'
+    if (s === 'ACCEPTED') return 'success'
+    return 'error'
+  }
+
+  function statusLabel(s: ScheduleRequestRow['status']) {
+    if (s === 'PENDING') return 'Awaiting clinic'
+    if (s === 'ACCEPTED') return 'Approved'
+    return 'Not scheduled'
+  }
+
+  async function submitNew() {
+    if (!newDate.value || !newStart.value || !newEnd.value) {
+      toast.add({
+        title: 'Missing fields',
+        description: 'Choose a date, start time, and end time.',
+        color: 'warning',
+      })
+      return
+    }
+    try {
+      submitting.value = true
+      await $fetch('/api/client/schedule-requests', {
+        method: 'POST',
+        body: {
+          date: newDate.value,
+          startTime: newStart.value,
+          endTime: newEnd.value,
+          message: newMessage.value.trim() || undefined,
+        },
+      })
+      toast.add({ title: 'Request sent', description: 'Your clinician will review it.', color: 'success' })
+      newDate.value = ''
+      newStart.value = ''
+      newEnd.value = ''
+      newMessage.value = ''
+      await refresh()
+    } catch (e: unknown) {
+      const msg =
+        (e as { data?: { statusMessage?: string } })?.data?.statusMessage ?? 'Could not submit request'
+      toast.add({ title: 'Error', description: msg, color: 'error' })
+    } finally {
+      submitting.value = false
+    }
+  }
+
+  function openEdit(r: ScheduleRequestRow) {
+    if (r.status !== 'PENDING') return
+    editId.value = r.id
+    editDate.value = toDateInputValue(r.requestedStartTime)
+    editStart.value = toTimeInputValue(r.requestedStartTime)
+    editEnd.value = toTimeInputValue(r.requestedEndTime)
+    editMessage.value = r.message ?? ''
+    editOpen.value = true
+  }
+
+  async function saveEdit() {
+    if (!editId.value || !editDate.value || !editStart.value || !editEnd.value) {
+      toast.add({
+        title: 'Missing fields',
+        description: 'Choose a date, start time, and end time.',
+        color: 'warning',
+      })
+      return
+    }
+    try {
+      editSaving.value = true
+      await $fetch(`/api/client/schedule-requests/${editId.value}`, {
+        method: 'PATCH',
+        body: {
+          date: editDate.value,
+          startTime: editStart.value,
+          endTime: editEnd.value,
+          message: editMessage.value.trim() || null,
+        },
+      })
+      toast.add({ title: 'Request updated', color: 'success' })
+      editOpen.value = false
+      editId.value = null
+      await refresh()
+    } catch (e: unknown) {
+      const msg =
+        (e as { data?: { statusMessage?: string } })?.data?.statusMessage ?? 'Could not update'
+      toast.add({ title: 'Error', description: msg, color: 'error' })
+    } finally {
+      editSaving.value = false
+    }
+  }
+</script>
+
+<template>
+  <section class="mt-8">
+    <div class="mb-3">
+      <h2 class="text-lg font-semibold text-gray-900 dark:text-white">Request a session time</h2>
+      <p class="mt-0.5 text-sm text-gray-600 dark:text-gray-400">
+        Propose a date and time for your next visit. Scheduling is not confirmed until your clinician
+        or admin approves it.
+      </p>
+    </div>
+
+    <UAlert
+      v-if="error"
+      color="error"
+      variant="subtle"
+      title="Could not load your requests"
+      :description="String(error)"
+    />
+
+    <div
+      v-else
+      class="rounded-xl border border-gray-200 bg-white p-5 shadow-sm dark:border-gray-800 dark:bg-gray-900"
+    >
+      <h3 class="text-sm font-semibold text-gray-900 dark:text-white">New request</h3>
+      <div class="mt-3 grid gap-3 sm:grid-cols-2 lg:grid-cols-4">
+        <UFormField label="Date">
+          <UInput v-model="newDate" type="date" class="w-full" />
+        </UFormField>
+        <UFormField label="Start">
+          <UInput v-model="newStart" type="time" class="w-full" />
+        </UFormField>
+        <UFormField label="End">
+          <UInput v-model="newEnd" type="time" class="w-full" />
+        </UFormField>
+        <div class="flex items-end">
+          <UButton
+            color="primary"
+            class="w-full sm:w-auto"
+            :loading="submitting"
+            icon="i-heroicons-paper-airplane-20-solid"
+            label="Submit request"
+            @click="submitNew"
+          />
+        </div>
+      </div>
+      <UFormField label="Note (optional)" class="mt-3">
+        <UTextarea v-model="newMessage" :rows="2" class="w-full" placeholder="Anything your care team should know" />
+      </UFormField>
+    </div>
+
+    <div class="mt-6">
+      <h3 class="mb-2 text-sm font-semibold text-gray-900 dark:text-white">Your requests</h3>
+      <div v-if="pending" class="space-y-2">
+        <USkeleton class="h-16 w-full" />
+        <USkeleton class="h-16 w-full" />
+      </div>
+      <div
+        v-else-if="!rows?.length"
+        class="rounded-lg border border-dashed border-gray-200 p-6 text-center text-sm text-gray-600 dark:border-gray-700 dark:text-gray-400"
+      >
+        No requests yet. Use the form above to propose a time.
+      </div>
+      <ul v-else class="space-y-3">
+        <li
+          v-for="r in rows"
+          :key="r.id"
+          class="rounded-xl border border-gray-200 bg-white p-4 dark:border-gray-800 dark:bg-gray-900"
+        >
+          <div class="flex flex-wrap items-start justify-between gap-3">
+            <div class="min-w-0">
+              <UBadge :color="statusBadgeColor(r.status)" variant="subtle" size="sm" class="mb-2">
+                {{ statusLabel(r.status) }}
+              </UBadge>
+              <p class="font-medium text-gray-900 dark:text-white">
+                {{ formatRange(r.requestedStartTime, r.requestedEndTime) }}
+              </p>
+              <p v-if="r.message" class="mt-1 text-sm text-gray-600 dark:text-gray-400">
+                {{ r.message }}
+              </p>
+              <p
+                v-if="r.status === 'DENIED' && r.staffResponseNote"
+                class="mt-2 text-sm text-gray-600 dark:text-gray-400"
+              >
+                <span class="font-medium text-gray-800 dark:text-gray-200">Clinic note:</span>
+                {{ r.staffResponseNote }}
+              </p>
+            </div>
+            <UButton
+              v-if="r.status === 'PENDING'"
+              size="sm"
+              variant="soft"
+              color="primary"
+              label="Edit"
+              icon="i-heroicons-pencil-square-20-solid"
+              @click="openEdit(r)"
+            />
+          </div>
+        </li>
+      </ul>
+    </div>
+
+    <UModal
+      :open="editOpen"
+      title="Edit request"
+      :ui="{ content: 'max-w-lg w-full' }"
+      @update:open="(v: boolean) => !v && (editOpen = false)"
+    >
+      <template #body>
+        <div class="space-y-4 p-6">
+          <div class="grid gap-3 sm:grid-cols-3">
+            <UFormField label="Date">
+              <UInput v-model="editDate" type="date" class="w-full" />
+            </UFormField>
+            <UFormField label="Start">
+              <UInput v-model="editStart" type="time" class="w-full" />
+            </UFormField>
+            <UFormField label="End">
+              <UInput v-model="editEnd" type="time" class="w-full" />
+            </UFormField>
+          </div>
+          <UFormField label="Note (optional)">
+            <UTextarea v-model="editMessage" :rows="3" class="w-full" />
+          </UFormField>
+          <div class="flex justify-end gap-2">
+            <UButton variant="ghost" @click="editOpen = false">Cancel</UButton>
+            <UButton color="primary" :loading="editSaving" @click="saveEdit">Save changes</UButton>
+          </div>
+        </div>
+      </template>
+    </UModal>
+  </section>
+</template>
diff --git a/app/pages/clients/appointment-schedule-requests.vue b/app/pages/clients/appointment-schedule-requests.vue
new file mode 100644
index 0000000..7aef7d5
--- /dev/null
+++ b/app/pages/clients/appointment-schedule-requests.vue
@@ -0,0 +1,273 @@
+<script setup lang="ts">
+  import { formatPersonDisplayName } from '~/utils/name'
+
+  definePageMeta({ middleware: 'clients-admin' })
+
+  type Row = {
+    id: string
+    clientUserId: string
+    clientName: string
+    clientEmail: string
+    requestedStartTime: string
+    requestedEndTime: string
+    message: string | null
+    status: string
+    createdAt: string
+    decidedAt: string | null
+    staffResponseNote: string | null
+    createdAppointmentId: string | null
+  }
+
+  type QueueResponse = {
+    pending: Row[]
+    history: Row[]
+  }
+
+  const toast = useToast()
+
+  const {
+    data: queue,
+    pending: loading,
+    error,
+    refresh,
+  } = await useFetch<QueueResponse>('/api/appointment-schedule-requests', {
+    getCachedData: () => undefined,
+  })
+
+  const decideModalOpen = ref(false)
+  const selected = ref<Row | null>(null)
+  const decideAction = ref<'accept' | 'deny' | null>(null)
+  const staffResponseNote = ref('')
+  const deciding = ref(false)
+
+  function openDecide(r: Row, action: 'accept' | 'deny') {
+    selected.value = r
+    decideAction.value = action
+    staffResponseNote.value = ''
+    decideModalOpen.value = true
+  }
+
+  async function submitDecision() {
+    if (!selected.value || !decideAction.value) return
+    const id = selected.value.id
+
+    if (decideAction.value === 'deny' && staffResponseNote.value.trim().length < 3) {
+      toast.add({
+        title: 'Explanation required',
+        description: 'Please explain why this time cannot be scheduled.',
+        color: 'error',
+      })
+      return
+    }
+
+    try {
+      deciding.value = true
+      await $fetch(`/api/appointment-schedule-requests/${id}`, {
+        method: 'PATCH',
+        body:
+          decideAction.value === 'deny'
+            ? { action: 'deny', staffResponseNote: staffResponseNote.value }
+            : { action: 'accept' },
+      })
+      toast.add({
+        title: decideAction.value === 'accept' ? 'Session scheduled' : 'Request declined',
+        description:
+          decideAction.value === 'accept'
+            ? 'The client has been notified.'
+            : 'The client has been notified with your message.',
+        color: 'success',
+      })
+      decideModalOpen.value = false
+      selected.value = null
+      decideAction.value = null
+      await refresh()
+    } catch (e: unknown) {
+      const msg =
+        (e as { data?: { statusMessage?: string } })?.data?.statusMessage ?? 'Action failed'
+      toast.add({ title: 'Error', description: msg, color: 'error' })
+    } finally {
+      deciding.value = false
+    }
+  }
+
+  function displayName(r: Row) {
+    return formatPersonDisplayName(r.clientName || '')
+  }
+
+  function formatRange(startIso: string, endIso: string) {
+    const start = new Date(startIso)
+    const end = new Date(endIso)
+    const dateStr = start.toLocaleDateString(undefined, {
+      weekday: 'short',
+      month: 'short',
+      day: 'numeric',
+      year: 'numeric',
+    })
+    const timeOpts: Intl.DateTimeFormatOptions = { hour: 'numeric', minute: '2-digit' }
+    return `${dateStr} · ${start.toLocaleTimeString(undefined, timeOpts)} – ${end.toLocaleTimeString(undefined, timeOpts)}`
+  }
+
+  function formatDateTime(iso: string | null | undefined): string {
+    if (!iso) return '—'
+    const d = new Date(iso)
+    if (Number.isNaN(d.getTime())) return '—'
+    return d.toLocaleString(undefined, {
+      month: 'short',
+      day: 'numeric',
+      year: 'numeric',
+      hour: 'numeric',
+      minute: '2-digit',
+    })
+  }
+</script>
+
+<template>
+  <main class="mx-auto max-w-4xl px-4 py-8 sm:px-6 lg:px-8">
+    <div class="mb-8">
+      <NuxtLink
+        to="/clients"
+        class="text-primary-600 hover:text-primary-700 dark:text-primary-400 mb-4 inline-flex items-center gap-1 text-sm font-medium"
+      >
+        <UIcon name="i-heroicons-arrow-left" class="h-4 w-4" />
+        Back to clients
+      </NuxtLink>
+      <h1 class="text-2xl font-bold tracking-tight text-gray-900 dark:text-white">
+        Session time requests
+      </h1>
+      <p class="mt-2 text-sm text-gray-600 dark:text-gray-400">
+        Clients propose visit times from their dashboard. Accepting creates a confirmed appointment
+        on the calendar; denying notifies the client with your message.
+      </p>
+    </div>
+
+    <UAlert
+      v-if="error"
+      color="error"
+      variant="subtle"
+      title="Could not load requests"
+      :description="String(error)"
+    />
+
+    <template v-else>
+      <h2 class="mb-3 text-base font-semibold text-gray-900 dark:text-white">Pending</h2>
+      <div v-if="loading" class="space-y-3">
+        <USkeleton class="h-24 w-full" />
+        <USkeleton class="h-24 w-full" />
+      </div>
+      <div
+        v-else-if="!(queue?.pending?.length)"
+        class="mb-10 rounded-xl border border-gray-200 bg-white p-6 text-center dark:border-gray-800 dark:bg-gray-900"
+      >
+        <p class="text-gray-600 dark:text-gray-400">No pending session time requests.</p>
+      </div>
+      <ul v-else class="mb-10 space-y-4">
+        <li
+          v-for="r in queue!.pending"
+          :key="r.id"
+          class="rounded-xl border border-gray-200 bg-white p-5 dark:border-gray-800 dark:bg-gray-900"
+        >
+          <div class="flex flex-wrap items-start justify-between gap-4">
+            <div class="min-w-0 flex-1">
+              <h3 class="text-lg font-semibold text-gray-900 dark:text-white">
+                {{ displayName(r) }}
+              </h3>
+              <p class="mt-1 text-sm text-gray-600 dark:text-gray-400">{{ r.clientEmail }}</p>
+              <p class="mt-3 text-sm font-medium text-gray-800 dark:text-gray-200">
+                {{ formatRange(r.requestedStartTime, r.requestedEndTime) }}
+              </p>
+              <p v-if="r.message" class="mt-2 text-sm text-gray-600 dark:text-gray-400">
+                {{ r.message }}
+              </p>
+              <p class="mt-2 text-xs text-gray-500 dark:text-gray-400">
+                Submitted {{ formatDateTime(r.createdAt) }}
+              </p>
+            </div>
+            <div class="flex flex-wrap gap-2">
+              <UButton size="sm" color="success" variant="soft" @click="openDecide(r, 'accept')">
+                Accept
+              </UButton>
+              <UButton size="sm" color="error" variant="soft" @click="openDecide(r, 'deny')">
+                Deny
+              </UButton>
+            </div>
+          </div>
+        </li>
+      </ul>
+
+      <h2 class="mb-3 text-base font-semibold text-gray-900 dark:text-white">Recent decisions</h2>
+      <div
+        v-if="!loading && !(queue?.history?.length)"
+        class="rounded-xl border border-gray-200 bg-white p-6 text-center dark:border-gray-800 dark:bg-gray-900"
+      >
+        <p class="text-sm text-gray-600 dark:text-gray-400">No recent decisions yet.</p>
+      </div>
+      <ul v-else-if="queue?.history?.length" class="space-y-3">
+        <li
+          v-for="r in queue!.history"
+          :key="r.id"
+          class="rounded-lg border border-gray-100 bg-gray-50/80 p-4 dark:border-gray-800 dark:bg-gray-900/60"
+        >
+          <div class="flex flex-wrap items-center justify-between gap-2">
+            <span class="font-medium text-gray-900 dark:text-white">{{ displayName(r) }}</span>
+            <UBadge
+              :color="r.status === 'ACCEPTED' ? 'success' : 'error'"
+              variant="subtle"
+              size="sm"
+            >
+              {{ r.status === 'ACCEPTED' ? 'Accepted' : 'Denied' }}
+            </UBadge>
+          </div>
+          <p class="mt-1 text-sm text-gray-600 dark:text-gray-400">
+            {{ formatRange(r.requestedStartTime, r.requestedEndTime) }}
+          </p>
+          <p class="mt-1 text-xs text-gray-500 dark:text-gray-400">
+            {{ formatDateTime(r.decidedAt) }}
+          </p>
+        </li>
+      </ul>
+    </template>
+
+    <UModal
+      :open="decideModalOpen"
+      :title="decideAction === 'accept' ? 'Accept and schedule' : 'Decline request'"
+      :ui="{ content: 'max-w-lg w-full' }"
+      @update:open="(v: boolean) => !v && (decideModalOpen = false)"
+    >
+      <template #body>
+        <div v-if="selected" class="space-y-4 p-6">
+          <p class="text-sm text-gray-600 dark:text-gray-400">
+            <span class="font-medium text-gray-900 dark:text-white">{{ displayName(selected) }}</span>
+            · {{ formatRange(selected.requestedStartTime, selected.requestedEndTime) }}
+          </p>
+
+          <template v-if="decideAction === 'deny'">
+            <p class="text-sm text-gray-600 dark:text-gray-400">
+              This message is emailed to the client.
+            </p>
+            <UFormField label="Reason" required>
+              <UTextarea v-model="staffResponseNote" :rows="5" class="w-full" placeholder="Required" />
+            </UFormField>
+          </template>
+
+          <template v-else>
+            <p class="text-sm text-gray-600 dark:text-gray-400">
+              A calendar appointment will be created for this exact time range, and the client will
+              be notified.
+            </p>
+          </template>
+
+          <div class="flex justify-end gap-2">
+            <UButton variant="ghost" @click="decideModalOpen = false">Cancel</UButton>
+            <UButton
+              :color="decideAction === 'deny' ? 'error' : 'success'"
+              :loading="deciding"
+              @click="submitDecision"
+            >
+              {{ decideAction === 'deny' ? 'Deny & notify' : 'Accept & schedule' }}
+            </UButton>
+          </div>
+        </div>
+      </template>
+    </UModal>
+  </main>
+</template>
diff --git a/app/pages/clients/index.vue b/app/pages/clients/index.vue
index ac4d720..f7dfd35 100644
--- a/app/pages/clients/index.vue
+++ b/app/pages/clients/index.vue
@@ -123,6 +123,17 @@
   )
   const pendingNoteRequestCount = computed(() => pendingNoteRequests.value?.length ?? 0)
 
+  type ScheduleQueue = { pending: unknown[]; history: unknown[] }
+  const { data: scheduleRequestQueue } = await useFetch<ScheduleQueue>(
+    '/api/appointment-schedule-requests',
+    {
+      getCachedData: () => undefined,
+    }
+  )
+  const pendingScheduleRequestCount = computed(
+    () => scheduleRequestQueue.value?.pending?.length ?? 0
+  )
+
   /** Per-client most-urgent pending records request (earliest expiry wins). */
   const pendingByClient = computed(() => {
     const map = new Map<string, PendingNoteRequest>()
@@ -388,15 +399,26 @@
           Browse clients by status. Manage status and therapy progress.
         </p>
       </div>
-      <NuxtLink
-        to="/clients/session-notes-requests"
-        class="text-primary-600 hover:text-primary-700 dark:text-primary-400 inline-flex items-center gap-2 text-sm font-medium"
-      >
-        Records requests
-        <UBadge v-if="pendingNoteRequestCount > 0" color="warning" variant="subtle" size="sm">
-          {{ pendingNoteRequestCount }} pending
-        </UBadge>
-      </NuxtLink>
+      <div class="flex flex-wrap items-center gap-3">
+        <NuxtLink
+          to="/clients/session-notes-requests"
+          class="text-primary-600 hover:text-primary-700 dark:text-primary-400 inline-flex items-center gap-2 text-sm font-medium"
+        >
+          Records requests
+          <UBadge v-if="pendingNoteRequestCount > 0" color="warning" variant="subtle" size="sm">
+            {{ pendingNoteRequestCount }} pending
+          </UBadge>
+        </NuxtLink>
+        <NuxtLink
+          to="/clients/appointment-schedule-requests"
+          class="text-primary-600 hover:text-primary-700 dark:text-primary-400 inline-flex items-center gap-2 text-sm font-medium"
+        >
+          Session time requests
+          <UBadge v-if="pendingScheduleRequestCount > 0" color="warning" variant="subtle" size="sm">
+            {{ pendingScheduleRequestCount }} pending
+          </UBadge>
+        </NuxtLink>
+      </div>
     </div>
 
     <div
diff --git a/app/pages/index.vue b/app/pages/index.vue
index 193fd5c..8e05f25 100644
--- a/app/pages/index.vue
+++ b/app/pages/index.vue
@@ -15,6 +15,7 @@
     userCount: number
     clientCount: number
     pendingSessionNotesRequests: number
+    pendingAppointmentScheduleRequests: number
     pendingNoteApprovals: number
     unreadNotifications: number
     displayName: string
@@ -133,7 +134,7 @@
     </div>
 
     <template v-else-if="adminStats">
-      <div class="grid gap-4 sm:grid-cols-2 lg:grid-cols-3">
+      <div class="grid gap-4 sm:grid-cols-2 lg:grid-cols-4">
         <div
           class="rounded-xl border border-gray-200 bg-white p-6 shadow-sm dark:border-gray-800 dark:bg-gray-900"
         >
@@ -156,6 +157,17 @@
             {{ adminStats.pendingSessionNotesRequests }}
           </p>
         </div>
+        <div
+          class="rounded-xl border border-gray-200 bg-white p-6 shadow-sm dark:border-gray-800 dark:bg-gray-900"
+        >
+          <div class="flex items-center gap-2 text-sm font-medium text-gray-500 dark:text-gray-400">
+            <UIcon name="i-heroicons-calendar-days-20-solid" class="h-5 w-5" />
+            Session time requests
+          </div>
+          <p class="mt-2 text-3xl font-semibold text-gray-900 tabular-nums dark:text-white">
+            {{ adminStats.pendingAppointmentScheduleRequests ?? 0 }}
+          </p>
+        </div>
         <NuxtLink
           to="/clients/session-notes-approvals"
           class="hover:border-primary-300 focus:ring-primary-500 focus:outline-none focus-visible:ring-2 rounded-xl border border-gray-200 bg-white p-6 shadow-sm transition-colors dark:border-gray-800 dark:bg-gray-900 dark:hover:border-gray-600"
@@ -209,6 +221,23 @@
               {{ adminStats.pendingSessionNotesRequests }} pending
             </UBadge>
           </div>
+          <div class="inline-flex flex-wrap items-center gap-2">
+            <UButton
+              to="/clients/appointment-schedule-requests"
+              label="Session time requests"
+              color="primary"
+              variant="soft"
+              icon="i-heroicons-calendar-days-20-solid"
+            />
+            <UBadge
+              v-if="(adminStats.pendingAppointmentScheduleRequests ?? 0) > 0"
+              color="warning"
+              variant="subtle"
+              size="sm"
+            >
+              {{ adminStats.pendingAppointmentScheduleRequests ?? 0 }} pending
+            </UBadge>
+          </div>
           <UButton
             to="/notes-test"
             label="Notes"
@@ -260,6 +289,7 @@
       :pending="pending"
       :appointments="clientStats?.upcomingAppointments ?? []"
     />
+    <ClientScheduleRequestsSection v-if="!error && clientStats?.clinicalStatus != null" />
     <ClientSessionNotesSection />
   </main>
 </template>
diff --git a/prisma/migrations/20260127013856_init/migration.sql b/prisma/migrations/20260127013856_init/migration.sql
deleted file mode 100644
index b547781..0000000
--- a/prisma/migrations/20260127013856_init/migration.sql
+++ /dev/null
@@ -1,66 +0,0 @@
--- CreateTable
-CREATE TABLE "user" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "name" TEXT NOT NULL,
-    "email" TEXT NOT NULL,
-    "emailVerified" BOOLEAN NOT NULL DEFAULT false,
-    "image" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "session" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "expiresAt" DATETIME NOT NULL,
-    "token" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    "ipAddress" TEXT,
-    "userAgent" TEXT,
-    "userId" TEXT NOT NULL,
-    CONSTRAINT "session_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "account" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "accountId" TEXT NOT NULL,
-    "providerId" TEXT NOT NULL,
-    "userId" TEXT NOT NULL,
-    "accessToken" TEXT,
-    "refreshToken" TEXT,
-    "idToken" TEXT,
-    "accessTokenExpiresAt" DATETIME,
-    "refreshTokenExpiresAt" DATETIME,
-    "scope" TEXT,
-    "password" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "account_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "verification" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "identifier" TEXT NOT NULL,
-    "value" TEXT NOT NULL,
-    "expiresAt" DATETIME NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateIndex
-CREATE UNIQUE INDEX "user_email_key" ON "user"("email");
-
--- CreateIndex
-CREATE INDEX "session_userId_idx" ON "session"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "session_token_key" ON "session"("token");
-
--- CreateIndex
-CREATE INDEX "account_userId_idx" ON "account"("userId");
-
--- CreateIndex
-CREATE INDEX "verification_identifier_idx" ON "verification"("identifier");
diff --git a/prisma/migrations/20260129194131_init/migration.sql b/prisma/migrations/20260129194131_init/migration.sql
deleted file mode 100644
index b547781..0000000
--- a/prisma/migrations/20260129194131_init/migration.sql
+++ /dev/null
@@ -1,66 +0,0 @@
--- CreateTable
-CREATE TABLE "user" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "name" TEXT NOT NULL,
-    "email" TEXT NOT NULL,
-    "emailVerified" BOOLEAN NOT NULL DEFAULT false,
-    "image" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "session" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "expiresAt" DATETIME NOT NULL,
-    "token" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    "ipAddress" TEXT,
-    "userAgent" TEXT,
-    "userId" TEXT NOT NULL,
-    CONSTRAINT "session_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "account" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "accountId" TEXT NOT NULL,
-    "providerId" TEXT NOT NULL,
-    "userId" TEXT NOT NULL,
-    "accessToken" TEXT,
-    "refreshToken" TEXT,
-    "idToken" TEXT,
-    "accessTokenExpiresAt" DATETIME,
-    "refreshTokenExpiresAt" DATETIME,
-    "scope" TEXT,
-    "password" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "account_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "verification" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "identifier" TEXT NOT NULL,
-    "value" TEXT NOT NULL,
-    "expiresAt" DATETIME NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateIndex
-CREATE UNIQUE INDEX "user_email_key" ON "user"("email");
-
--- CreateIndex
-CREATE INDEX "session_userId_idx" ON "session"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "session_token_key" ON "session"("token");
-
--- CreateIndex
-CREATE INDEX "account_userId_idx" ON "account"("userId");
-
--- CreateIndex
-CREATE INDEX "verification_identifier_idx" ON "verification"("identifier");
diff --git a/prisma/migrations/20260217005051_add_gad/migration.sql b/prisma/migrations/20260217005051_add_gad/migration.sql
deleted file mode 100644
index 278fd8e..0000000
--- a/prisma/migrations/20260217005051_add_gad/migration.sql
+++ /dev/null
@@ -1,36 +0,0 @@
--- CreateTable
-CREATE TABLE "GadForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "GadForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "GadQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "g01" INTEGER,
-    "g02" INTEGER,
-    "g03" INTEGER,
-    "g04" INTEGER,
-    "g05" INTEGER,
-    "g06" INTEGER,
-    "g07" INTEGER,
-    "g08" INTEGER,
-    CONSTRAINT "GadQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "GadForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "GadQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateIndex
-CREATE INDEX "GadForm_userId_idx" ON "GadForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "GadQuestion_formId_key" ON "GadQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "GadQuestion_userId_idx" ON "GadQuestion"("userId");
diff --git a/prisma/migrations/20260226040142/migration.sql b/prisma/migrations/20260226040142/migration.sql
deleted file mode 100644
index 38b3e29..0000000
--- a/prisma/migrations/20260226040142/migration.sql
+++ /dev/null
@@ -1,123 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `GadForm` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `GadQuestion` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the column `image` on the `user` table. All the data in the column will be lost.
-
-*/
--- DropIndex
-DROP INDEX "GadForm_userId_idx";
-
--- DropIndex
-DROP INDEX "GadQuestion_userId_idx";
-
--- DropIndex
-DROP INDEX "GadQuestion_formId_key";
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "GadForm";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "GadQuestion";
-PRAGMA foreign_keys=on;
-
--- CreateTable
-CREATE TABLE "AppForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "submittedAt" DATETIME,
-    CONSTRAINT "AppForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "AppQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q01" TEXT,
-    "q02" TEXT,
-    "q03" TEXT,
-    "q04" TEXT,
-    "q05" TEXT,
-    "q06" TEXT,
-    "q07" TEXT,
-    "q08" TEXT,
-    "q09" TEXT,
-    "q10" TEXT,
-    "q11" TEXT,
-    "q12" TEXT,
-    "q13" TEXT,
-    "q14" TEXT,
-    "q15" TEXT,
-    "q16" TEXT,
-    "q17" TEXT,
-    "q18" TEXT,
-    "q19" TEXT,
-    "q20" TEXT,
-    "q21" TEXT,
-    "q22" TEXT,
-    "q23" TEXT,
-    "q24" TEXT,
-    "q25" TEXT,
-    "q26" TEXT,
-    "q27" TEXT,
-    "q28" TEXT,
-    "q29" TEXT,
-    "q30" TEXT,
-    "q31" TEXT,
-    "q32" TEXT,
-    "q33" TEXT,
-    "q34" TEXT,
-    "q35" TEXT,
-    "q36" TEXT,
-    "q37" TEXT,
-    "q38" TEXT,
-    "q39" TEXT,
-    "q40" TEXT,
-    "q41" TEXT,
-    "q42" TEXT,
-    "q43" TEXT,
-    "q44" TEXT,
-    "q45" TEXT,
-    "q46" TEXT,
-    "q47" TEXT,
-    "q48" TEXT,
-    "q49" TEXT,
-    "q50" TEXT,
-    CONSTRAINT "AppQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "AppForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "AppQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_user" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "name" TEXT NOT NULL,
-    "email" TEXT NOT NULL,
-    "emailVerified" BOOLEAN NOT NULL DEFAULT false,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    "role" TEXT NOT NULL DEFAULT 'CLIENT',
-    "phoneNumber" INTEGER
-);
-INSERT INTO "new_user" ("createdAt", "email", "emailVerified", "id", "name", "updatedAt") SELECT "createdAt", "email", "emailVerified", "id", "name", "updatedAt" FROM "user";
-DROP TABLE "user";
-ALTER TABLE "new_user" RENAME TO "user";
-CREATE UNIQUE INDEX "user_email_key" ON "user"("email");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
-
--- CreateIndex
-CREATE UNIQUE INDEX "AppForm_userId_key" ON "AppForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "AppQuestion_formId_key" ON "AppQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "AppQuestion_userId_idx" ON "AppQuestion"("userId");
diff --git a/prisma/migrations/20260226042411_add_image/migration.sql b/prisma/migrations/20260226042411_add_image/migration.sql
deleted file mode 100644
index b34507c..0000000
--- a/prisma/migrations/20260226042411_add_image/migration.sql
+++ /dev/null
@@ -1,203 +0,0 @@
--- AlterTable
-ALTER TABLE "user" ADD COLUMN "image" TEXT;
-
--- CreateTable
-CREATE TABLE "form" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "title" TEXT NOT NULL,
-    "description" TEXT,
-    "slug" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "question" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "text" TEXT NOT NULL,
-    "type" TEXT NOT NULL,
-    "alias" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "form_question" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "formId" TEXT NOT NULL,
-    "questionId" TEXT NOT NULL,
-    "order" INTEGER NOT NULL,
-    CONSTRAINT "form_question_formId_fkey" FOREIGN KEY ("formId") REFERENCES "form" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "form_question_questionId_fkey" FOREIGN KEY ("questionId") REFERENCES "question" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "form_assignment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "formId" TEXT NOT NULL,
-    "assignedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "completedAt" DATETIME,
-    CONSTRAINT "form_assignment_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "form_assignment_formId_fkey" FOREIGN KEY ("formId") REFERENCES "form" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ace_response" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "responses" TEXT NOT NULL,
-    "completedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "ace_response_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "GadForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "GadForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "GadQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "g01" INTEGER,
-    "g02" INTEGER,
-    "g03" INTEGER,
-    "g04" INTEGER,
-    "g05" INTEGER,
-    "g06" INTEGER,
-    "g07" INTEGER,
-    "g08" INTEGER,
-    CONSTRAINT "GadQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "GadForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "GadQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhqForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "submittedAt" DATETIME,
-    CONSTRAINT "PhqForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhqQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q1" INTEGER,
-    "q2" INTEGER,
-    "q3" INTEGER,
-    "q4" INTEGER,
-    "q5" INTEGER,
-    "q6" INTEGER,
-    "q7" INTEGER,
-    "q8" INTEGER,
-    "q9" INTEGER,
-    CONSTRAINT "PhqQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PhqForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "PhqQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PclForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "submittedAt" DATETIME,
-    CONSTRAINT "PclForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PclQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q01" INTEGER,
-    "q02" INTEGER,
-    "q03" INTEGER,
-    "q04" INTEGER,
-    "q05" INTEGER,
-    "q06" INTEGER,
-    "q07" INTEGER,
-    "q08" INTEGER,
-    "q09" INTEGER,
-    "q10" INTEGER,
-    "q11" INTEGER,
-    "q12" INTEGER,
-    "q13" INTEGER,
-    "q14" INTEGER,
-    "q15" INTEGER,
-    "q16" INTEGER,
-    "q17" INTEGER,
-    "q18" INTEGER,
-    "q19" INTEGER,
-    "q20" INTEGER,
-    CONSTRAINT "PclQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PclForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "PclQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_slug_key" ON "form"("slug");
-
--- CreateIndex
-CREATE UNIQUE INDEX "question_alias_key" ON "question"("alias");
-
--- CreateIndex
-CREATE INDEX "form_question_formId_idx" ON "form_question"("formId");
-
--- CreateIndex
-CREATE INDEX "form_question_questionId_idx" ON "form_question"("questionId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_question_formId_questionId_key" ON "form_question"("formId", "questionId");
-
--- CreateIndex
-CREATE INDEX "form_assignment_userId_idx" ON "form_assignment"("userId");
-
--- CreateIndex
-CREATE INDEX "form_assignment_formId_idx" ON "form_assignment"("formId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_assignment_userId_formId_key" ON "form_assignment"("userId", "formId");
-
--- CreateIndex
-CREATE INDEX "ace_response_userId_idx" ON "ace_response"("userId");
-
--- CreateIndex
-CREATE INDEX "GadForm_userId_idx" ON "GadForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "GadQuestion_formId_key" ON "GadQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "GadQuestion_userId_idx" ON "GadQuestion"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhqForm_userId_key" ON "PhqForm"("userId");
-
--- CreateIndex
-CREATE INDEX "PhqForm_userId_idx" ON "PhqForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhqQuestion_formId_key" ON "PhqQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "PhqQuestion_userId_idx" ON "PhqQuestion"("userId");
-
--- CreateIndex
-CREATE INDEX "PclForm_userId_idx" ON "PclForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PclQuestion_formId_key" ON "PclQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "PclQuestion_userId_idx" ON "PclQuestion"("userId");
diff --git a/prisma/migrations/20260226060301/migration.sql b/prisma/migrations/20260226060301/migration.sql
deleted file mode 100644
index d40952a..0000000
--- a/prisma/migrations/20260226060301/migration.sql
+++ /dev/null
@@ -1,14 +0,0 @@
--- CreateTable
-CREATE TABLE "client" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'INCOMPLETE',
-    "therapyWeek" INTEGER,
-    CONSTRAINT "client_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_userId_key" ON "client"("userId");
-
--- CreateIndex
-CREATE INDEX "client_status_idx" ON "client"("status");
diff --git a/prisma/migrations/20260226072412_appointments/migration.sql b/prisma/migrations/20260226072412_appointments/migration.sql
deleted file mode 100644
index e8d585f..0000000
--- a/prisma/migrations/20260226072412_appointments/migration.sql
+++ /dev/null
@@ -1,26 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `client` table. If the table is not empty, all the data it contains will be lost.
-
-*/
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "client";
-PRAGMA foreign_keys=on;
-
--- CreateTable
-CREATE TABLE "Appointment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "adminId" TEXT NOT NULL,
-    "title" TEXT NOT NULL,
-    "description" TEXT,
-    "startTime" DATETIME NOT NULL,
-    "endTime" DATETIME NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'SCHEDULED',
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "Appointment_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "Appointment_adminId_fkey" FOREIGN KEY ("adminId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE
-);
diff --git a/prisma/migrations/20260314154429/migration.sql b/prisma/migrations/20260314154429/migration.sql
deleted file mode 100644
index 57888dd..0000000
--- a/prisma/migrations/20260314154429/migration.sql
+++ /dev/null
@@ -1,374 +0,0 @@
--- CreateTable
-CREATE TABLE "client" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'INCOMPLETE',
-    "therapyWeek" INTEGER,
-    "missedSessions" INTEGER NOT NULL DEFAULT 0,
-    CONSTRAINT "client_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "client_permission" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "canViewScores" BOOLEAN NOT NULL DEFAULT false,
-    "canViewNotes" BOOLEAN NOT NULL DEFAULT false,
-    "canViewPlan" BOOLEAN NOT NULL DEFAULT false,
-    CONSTRAINT "client_permission_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "session_note" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "content" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "client_plan" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "content" TEXT NOT NULL DEFAULT '',
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "client_plan_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "form" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "title" TEXT NOT NULL,
-    "description" TEXT,
-    "slug" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "question" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "text" TEXT NOT NULL,
-    "type" TEXT NOT NULL,
-    "alias" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL
-);
-
--- CreateTable
-CREATE TABLE "form_question" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "formId" TEXT NOT NULL,
-    "questionId" TEXT NOT NULL,
-    "order" INTEGER NOT NULL,
-    CONSTRAINT "form_question_questionId_fkey" FOREIGN KEY ("questionId") REFERENCES "question" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "form_question_formId_fkey" FOREIGN KEY ("formId") REFERENCES "form" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "form_assignment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "formId" TEXT NOT NULL,
-    "assignedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "completedAt" DATETIME,
-    CONSTRAINT "form_assignment_formId_fkey" FOREIGN KEY ("formId") REFERENCES "form" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "form_assignment_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ace_response" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "responses" TEXT NOT NULL,
-    "completedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "ace_response_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "AppForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "submittedAt" DATETIME,
-    CONSTRAINT "AppForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "AppQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q01" TEXT,
-    "q02" TEXT,
-    "q03" TEXT,
-    "q04" TEXT,
-    "q05" TEXT,
-    "q06" TEXT,
-    "q07" TEXT,
-    "q08" TEXT,
-    "q09" TEXT,
-    "q10" TEXT,
-    "q11" TEXT,
-    "q12" TEXT,
-    "q13" TEXT,
-    "q14" TEXT,
-    "q15" TEXT,
-    "q16" TEXT,
-    "q17" TEXT,
-    "q18" TEXT,
-    "q19" TEXT,
-    "q20" TEXT,
-    "q21" TEXT,
-    "q22" TEXT,
-    "q23" TEXT,
-    "q24" TEXT,
-    "q25" TEXT,
-    "q26" TEXT,
-    "q27" TEXT,
-    "q28" TEXT,
-    "q29" TEXT,
-    "q30" TEXT,
-    "q31" TEXT,
-    "q32" TEXT,
-    "q33" TEXT,
-    "q34" TEXT,
-    "q35" TEXT,
-    "q36" TEXT,
-    "q37" TEXT,
-    "q38" TEXT,
-    "q39" TEXT,
-    "q40" TEXT,
-    "q41" TEXT,
-    "q42" TEXT,
-    "q43" TEXT,
-    "q44" TEXT,
-    "q45" TEXT,
-    "q46" TEXT,
-    "q47" TEXT,
-    "q48" TEXT,
-    "q49" TEXT,
-    "q50" TEXT,
-    CONSTRAINT "AppQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "AppQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "AppForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "GadForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "GadForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "GadQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "g01" INTEGER,
-    "g02" INTEGER,
-    "g03" INTEGER,
-    "g04" INTEGER,
-    "g05" INTEGER,
-    "g06" INTEGER,
-    "g07" INTEGER,
-    "g08" INTEGER,
-    CONSTRAINT "GadQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "GadQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "GadForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhqForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "submittedAt" DATETIME,
-    "severity" TEXT,
-    CONSTRAINT "PhqForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhqQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q1" INTEGER,
-    "q2" INTEGER,
-    "q3" INTEGER,
-    "q4" INTEGER,
-    "q5" INTEGER,
-    "q6" INTEGER,
-    "q7" INTEGER,
-    "q8" INTEGER,
-    "q9" INTEGER,
-    "q10" INTEGER,
-    CONSTRAINT "PhqQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "PhqQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PhqForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PclForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "submittedAt" DATETIME,
-    "severity" TEXT,
-    "totalScore" INTEGER,
-    CONSTRAINT "PclForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PclQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "q01" INTEGER,
-    "q02" INTEGER,
-    "q03" INTEGER,
-    "q04" INTEGER,
-    "q05" INTEGER,
-    "q06" INTEGER,
-    "q07" INTEGER,
-    "q08" INTEGER,
-    "q09" INTEGER,
-    "q10" INTEGER,
-    "q11" INTEGER,
-    "q12" INTEGER,
-    "q13" INTEGER,
-    "q14" INTEGER,
-    "q15" INTEGER,
-    "q16" INTEGER,
-    "q17" INTEGER,
-    "q18" INTEGER,
-    "q19" INTEGER,
-    "q20" INTEGER,
-    CONSTRAINT "PclQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "PclQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PclForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "change_audit" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "entityType" TEXT NOT NULL,
-    "entityId" TEXT NOT NULL,
-    "oldValue" TEXT,
-    "newValue" TEXT,
-    "reasoning" TEXT,
-    "documentationBase64" TEXT,
-    "signatureData" TEXT NOT NULL,
-    "signedById" TEXT NOT NULL,
-    "signedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "change_audit_signedById_fkey" FOREIGN KEY ("signedById") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_user" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "name" TEXT NOT NULL,
-    "email" TEXT NOT NULL,
-    "emailVerified" BOOLEAN NOT NULL DEFAULT false,
-    "image" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    "role" TEXT NOT NULL DEFAULT 'CLIENT',
-    "phoneNumber" INTEGER
-);
-INSERT INTO "new_user" ("createdAt", "email", "emailVerified", "id", "image", "name", "updatedAt") SELECT "createdAt", "email", "emailVerified", "id", "image", "name", "updatedAt" FROM "user";
-DROP TABLE "user";
-ALTER TABLE "new_user" RENAME TO "user";
-CREATE UNIQUE INDEX "user_email_key" ON "user"("email");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_userId_key" ON "client"("userId");
-
--- CreateIndex
-CREATE INDEX "client_status_idx" ON "client"("status");
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_permission_clientId_key" ON "client_permission"("clientId");
-
--- CreateIndex
-CREATE INDEX "session_note_clientId_idx" ON "session_note"("clientId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_plan_clientId_key" ON "client_plan"("clientId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_slug_key" ON "form"("slug");
-
--- CreateIndex
-CREATE UNIQUE INDEX "question_alias_key" ON "question"("alias");
-
--- CreateIndex
-CREATE INDEX "form_question_formId_idx" ON "form_question"("formId");
-
--- CreateIndex
-CREATE INDEX "form_question_questionId_idx" ON "form_question"("questionId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_question_formId_questionId_key" ON "form_question"("formId", "questionId");
-
--- CreateIndex
-CREATE INDEX "form_assignment_userId_idx" ON "form_assignment"("userId");
-
--- CreateIndex
-CREATE INDEX "form_assignment_formId_idx" ON "form_assignment"("formId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "form_assignment_userId_formId_key" ON "form_assignment"("userId", "formId");
-
--- CreateIndex
-CREATE INDEX "ace_response_userId_idx" ON "ace_response"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "AppForm_userId_key" ON "AppForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "AppQuestion_formId_key" ON "AppQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "AppQuestion_userId_idx" ON "AppQuestion"("userId");
-
--- CreateIndex
-CREATE INDEX "GadForm_userId_idx" ON "GadForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "GadQuestion_formId_key" ON "GadQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "GadQuestion_userId_idx" ON "GadQuestion"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhqForm_userId_key" ON "PhqForm"("userId");
-
--- CreateIndex
-CREATE INDEX "PhqForm_userId_idx" ON "PhqForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhqQuestion_formId_key" ON "PhqQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "PhqQuestion_userId_idx" ON "PhqQuestion"("userId");
-
--- CreateIndex
-CREATE INDEX "PclForm_userId_idx" ON "PclForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PclQuestion_formId_key" ON "PclQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "PclQuestion_userId_idx" ON "PclQuestion"("userId");
-
--- CreateIndex
-CREATE INDEX "change_audit_entityType_entityId_idx" ON "change_audit"("entityType", "entityId");
diff --git a/prisma/migrations/20260402034332_consolidate_notes_and_split_schemas/migration.sql b/prisma/migrations/20260402034332_consolidate_notes_and_split_schemas/migration.sql
deleted file mode 100644
index e59221e..0000000
--- a/prisma/migrations/20260402034332_consolidate_notes_and_split_schemas/migration.sql
+++ /dev/null
@@ -1,147 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the column `documentationBase64` on the `change_audit` table. All the data in the column will be lost.
-
-*/
--- AlterTable
-ALTER TABLE "PclQuestion" ADD COLUMN "worstEvent" TEXT;
-
--- CreateTable
-CREATE TABLE "Appointment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "adminId" TEXT NOT NULL,
-    "title" TEXT NOT NULL,
-    "description" TEXT,
-    "startTime" DATETIME NOT NULL,
-    "endTime" DATETIME NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'SCHEDULED',
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "Appointment_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "Appointment_adminId_fkey" FOREIGN KEY ("adminId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhysicianStatementForm" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
-    "originalFileName" TEXT,
-    "storedFileName" TEXT,
-    "mimeType" TEXT,
-    "uploadedAt" DATETIME,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "PhysicianStatementForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ReleaseOfInformationAuthorizationForm" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
-    "originalFileName" TEXT,
-    "storedFileName" TEXT,
-    "mimeType" TEXT,
-    "uploadedAt" DATETIME,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "ReleaseOfInformationAuthorizationForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "session_note_edit" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "sessionNoteId" TEXT NOT NULL,
-    "originalContent" TEXT,
-    "reason" TEXT,
-    "signature" TEXT,
-    "editedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_edit_sessionNoteId_fkey" FOREIGN KEY ("sessionNoteId") REFERENCES "session_note" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "declaration_template" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "requestKind" TEXT NOT NULL,
-    "version" INTEGER NOT NULL,
-    "content" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP
-);
-
--- CreateTable
-CREATE TABLE "session_notes_request" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "requestKind" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'PENDING',
-    "signatureData" TEXT NOT NULL,
-    "declarationTemplateId" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "decidedAt" DATETIME,
-    "decidedByUserId" TEXT,
-    "rejectionReason" TEXT,
-    "approvedSummaryText" TEXT,
-    CONSTRAINT "session_notes_request_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "session_notes_request_declarationTemplateId_fkey" FOREIGN KEY ("declarationTemplateId") REFERENCES "declaration_template" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "session_notes_request_decidedByUserId_fkey" FOREIGN KEY ("decidedByUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
-);
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_change_audit" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "entityType" TEXT NOT NULL,
-    "entityId" TEXT NOT NULL,
-    "oldValue" TEXT,
-    "newValue" TEXT,
-    "reasoning" TEXT,
-    "documentationPath" TEXT,
-    "documentationName" TEXT,
-    "signatureData" TEXT NOT NULL,
-    "signedById" TEXT NOT NULL,
-    "signedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "change_audit_signedById_fkey" FOREIGN KEY ("signedById") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-INSERT INTO "new_change_audit" ("entityId", "entityType", "id", "newValue", "oldValue", "reasoning", "signatureData", "signedAt", "signedById") SELECT "entityId", "entityType", "id", "newValue", "oldValue", "reasoning", "signatureData", "signedAt", "signedById" FROM "change_audit";
-DROP TABLE "change_audit";
-ALTER TABLE "new_change_audit" RENAME TO "change_audit";
-CREATE INDEX "change_audit_entityType_entityId_idx" ON "change_audit"("entityType", "entityId");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
-
--- CreateIndex
-CREATE INDEX "Appointment_clientId_idx" ON "Appointment"("clientId");
-
--- CreateIndex
-CREATE INDEX "Appointment_adminId_idx" ON "Appointment"("adminId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhysicianStatementForm_userId_key" ON "PhysicianStatementForm"("userId");
-
--- CreateIndex
-CREATE INDEX "PhysicianStatementForm_status_idx" ON "PhysicianStatementForm"("status");
-
--- CreateIndex
-CREATE UNIQUE INDEX "ReleaseOfInformationAuthorizationForm_userId_key" ON "ReleaseOfInformationAuthorizationForm"("userId");
-
--- CreateIndex
-CREATE INDEX "ReleaseOfInformationAuthorizationForm_status_idx" ON "ReleaseOfInformationAuthorizationForm"("status");
-
--- CreateIndex
-CREATE INDEX "session_note_edit_sessionNoteId_idx" ON "session_note_edit"("sessionNoteId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "declaration_template_requestKind_version_key" ON "declaration_template"("requestKind", "version");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_clientId_idx" ON "session_notes_request"("clientId");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_status_idx" ON "session_notes_request"("status");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_declarationTemplateId_idx" ON "session_notes_request"("declarationTemplateId");
diff --git a/prisma/migrations/20260402035909_remove_dynamic_forms/migration.sql b/prisma/migrations/20260402035909_remove_dynamic_forms/migration.sql
deleted file mode 100644
index 21cc75c..0000000
--- a/prisma/migrations/20260402035909_remove_dynamic_forms/migration.sql
+++ /dev/null
@@ -1,28 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `form` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `form_assignment` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `form_question` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `question` table. If the table is not empty, all the data it contains will be lost.
-
-*/
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form_assignment";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form_question";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "question";
-PRAGMA foreign_keys=on;
diff --git a/prisma/migrations/20260402041509_hardcode_ace_form/migration.sql b/prisma/migrations/20260402041509_hardcode_ace_form/migration.sql
deleted file mode 100644
index 575593d..0000000
--- a/prisma/migrations/20260402041509_hardcode_ace_form/migration.sql
+++ /dev/null
@@ -1,52 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `ace_response` table. If the table is not empty, all the data it contains will be lost.
-
-*/
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "ace_response";
-PRAGMA foreign_keys=on;
-
--- CreateTable
-CREATE TABLE "ace_form" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "ace_form_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ace_question" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "a01" TEXT,
-    "a02" TEXT,
-    "a03" TEXT,
-    "a04" TEXT,
-    "a05" TEXT,
-    "a06" TEXT,
-    "a07" TEXT,
-    "a08" TEXT,
-    "a09" TEXT,
-    "a10" TEXT,
-    CONSTRAINT "ace_question_formId_fkey" FOREIGN KEY ("formId") REFERENCES "ace_form" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "ace_question_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateIndex
-CREATE UNIQUE INDEX "ace_form_userId_key" ON "ace_form"("userId");
-
--- CreateIndex
-CREATE INDEX "ace_form_userId_idx" ON "ace_form"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "ace_question_formId_key" ON "ace_question"("formId");
-
--- CreateIndex
-CREATE INDEX "ace_question_userId_idx" ON "ace_question"("userId");
diff --git a/prisma/migrations/20260409184455_add_recurring_fields/migration.sql b/prisma/migrations/20260409184455_add_recurring_fields/migration.sql
deleted file mode 100644
index c2580e5..0000000
--- a/prisma/migrations/20260409184455_add_recurring_fields/migration.sql
+++ /dev/null
@@ -1,3 +0,0 @@
--- AlterTable
-ALTER TABLE "Appointment" ADD COLUMN "recurrence" TEXT;
-ALTER TABLE "Appointment" ADD COLUMN "seriesId" TEXT;
diff --git a/prisma/migrations/20260409203356/migration.sql b/prisma/migrations/20260409203356/migration.sql
deleted file mode 100644
index ffdd9af..0000000
--- a/prisma/migrations/20260409203356/migration.sql
+++ /dev/null
@@ -1,310 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `ace_response` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `form` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `form_assignment` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `form_question` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `question` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the column `recurrence` on the `Appointment` table. All the data in the column will be lost.
-  - You are about to drop the column `seriesId` on the `Appointment` table. All the data in the column will be lost.
-
-*/
--- DropIndex
-DROP INDEX "ace_response_userId_idx";
-
--- DropIndex
-DROP INDEX "form_slug_key";
-
--- DropIndex
-DROP INDEX "form_assignment_userId_formId_key";
-
--- DropIndex
-DROP INDEX "form_assignment_formId_idx";
-
--- DropIndex
-DROP INDEX "form_assignment_userId_idx";
-
--- DropIndex
-DROP INDEX "form_question_formId_questionId_key";
-
--- DropIndex
-DROP INDEX "form_question_questionId_idx";
-
--- DropIndex
-DROP INDEX "form_question_formId_idx";
-
--- DropIndex
-DROP INDEX "question_alias_key";
-
--- AlterTable
-ALTER TABLE "PclForm" ADD COLUMN "severity" TEXT;
-ALTER TABLE "PclForm" ADD COLUMN "totalScore" INTEGER;
-
--- AlterTable
-ALTER TABLE "PclQuestion" ADD COLUMN "worstEvent" TEXT;
-
--- AlterTable
-ALTER TABLE "PhqForm" ADD COLUMN "severity" TEXT;
-
--- AlterTable
-ALTER TABLE "PhqQuestion" ADD COLUMN "q10" INTEGER;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "ace_response";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form_assignment";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "form_question";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "question";
-PRAGMA foreign_keys=on;
-
--- CreateTable
-CREATE TABLE "client" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'INCOMPLETE',
-    "therapyWeek" INTEGER,
-    "missedSessions" INTEGER NOT NULL DEFAULT 0,
-    CONSTRAINT "client_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "client_permission" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "canViewScores" BOOLEAN NOT NULL DEFAULT false,
-    "canViewNotes" BOOLEAN NOT NULL DEFAULT false,
-    "canViewPlan" BOOLEAN NOT NULL DEFAULT false,
-    CONSTRAINT "client_permission_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "client_plan" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "content" TEXT NOT NULL DEFAULT '',
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "client_plan_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "change_audit" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "entityType" TEXT NOT NULL,
-    "entityId" TEXT NOT NULL,
-    "oldValue" TEXT,
-    "newValue" TEXT,
-    "reasoning" TEXT,
-    "documentationPath" TEXT,
-    "documentationName" TEXT,
-    "signatureData" TEXT NOT NULL,
-    "signedById" TEXT NOT NULL,
-    "signedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "change_audit_signedById_fkey" FOREIGN KEY ("signedById") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ace_form" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "ace_form_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ace_question" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "a01" TEXT,
-    "a02" TEXT,
-    "a03" TEXT,
-    "a04" TEXT,
-    "a05" TEXT,
-    "a06" TEXT,
-    "a07" TEXT,
-    "a08" TEXT,
-    "a09" TEXT,
-    "a10" TEXT,
-    CONSTRAINT "ace_question_formId_fkey" FOREIGN KEY ("formId") REFERENCES "ace_form" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "ace_question_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "PhysicianStatementForm" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
-    "originalFileName" TEXT,
-    "storedFileName" TEXT,
-    "mimeType" TEXT,
-    "uploadedAt" DATETIME,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "PhysicianStatementForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "ReleaseOfInformationAuthorizationForm" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
-    "originalFileName" TEXT,
-    "storedFileName" TEXT,
-    "mimeType" TEXT,
-    "uploadedAt" DATETIME,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "ReleaseOfInformationAuthorizationForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "session_note" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "content" TEXT NOT NULL,
-    "attended" BOOLEAN NOT NULL DEFAULT true,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "session_note_edit" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "sessionNoteId" TEXT NOT NULL,
-    "originalContent" TEXT,
-    "reason" TEXT,
-    "signature" TEXT,
-    "editedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_edit_sessionNoteId_fkey" FOREIGN KEY ("sessionNoteId") REFERENCES "session_note" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "declaration_template" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "requestKind" TEXT NOT NULL,
-    "version" INTEGER NOT NULL,
-    "content" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP
-);
-
--- CreateTable
-CREATE TABLE "session_notes_request" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "requestKind" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'PENDING',
-    "signatureData" TEXT NOT NULL,
-    "declarationTemplateId" TEXT NOT NULL,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "decidedAt" DATETIME,
-    "decidedByUserId" TEXT,
-    "rejectionReason" TEXT,
-    "approvedSummaryText" TEXT,
-    CONSTRAINT "session_notes_request_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "session_notes_request_declarationTemplateId_fkey" FOREIGN KEY ("declarationTemplateId") REFERENCES "declaration_template" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "session_notes_request_decidedByUserId_fkey" FOREIGN KEY ("decidedByUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
-);
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_Appointment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "adminId" TEXT NOT NULL,
-    "title" TEXT NOT NULL,
-    "description" TEXT,
-    "startTime" DATETIME NOT NULL,
-    "endTime" DATETIME NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'SCHEDULED',
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "Appointment_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "Appointment_adminId_fkey" FOREIGN KEY ("adminId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE
-);
-INSERT INTO "new_Appointment" ("adminId", "clientId", "createdAt", "description", "endTime", "id", "startTime", "status", "title", "updatedAt") SELECT "adminId", "clientId", "createdAt", "description", "endTime", "id", "startTime", "status", "title", "updatedAt" FROM "Appointment";
-DROP TABLE "Appointment";
-ALTER TABLE "new_Appointment" RENAME TO "Appointment";
-CREATE INDEX "Appointment_clientId_idx" ON "Appointment"("clientId");
-CREATE INDEX "Appointment_adminId_idx" ON "Appointment"("adminId");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_userId_key" ON "client"("userId");
-
--- CreateIndex
-CREATE INDEX "client_status_idx" ON "client"("status");
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_permission_clientId_key" ON "client_permission"("clientId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "client_plan_clientId_key" ON "client_plan"("clientId");
-
--- CreateIndex
-CREATE INDEX "change_audit_entityType_entityId_idx" ON "change_audit"("entityType", "entityId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "ace_form_userId_key" ON "ace_form"("userId");
-
--- CreateIndex
-CREATE INDEX "ace_form_userId_idx" ON "ace_form"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "ace_question_formId_key" ON "ace_question"("formId");
-
--- CreateIndex
-CREATE INDEX "ace_question_userId_idx" ON "ace_question"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "PhysicianStatementForm_userId_key" ON "PhysicianStatementForm"("userId");
-
--- CreateIndex
-CREATE INDEX "PhysicianStatementForm_status_idx" ON "PhysicianStatementForm"("status");
-
--- CreateIndex
-CREATE UNIQUE INDEX "ReleaseOfInformationAuthorizationForm_userId_key" ON "ReleaseOfInformationAuthorizationForm"("userId");
-
--- CreateIndex
-CREATE INDEX "ReleaseOfInformationAuthorizationForm_status_idx" ON "ReleaseOfInformationAuthorizationForm"("status");
-
--- CreateIndex
-CREATE INDEX "session_note_clientId_idx" ON "session_note"("clientId");
-
--- CreateIndex
-CREATE INDEX "session_note_edit_sessionNoteId_idx" ON "session_note_edit"("sessionNoteId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "declaration_template_requestKind_version_key" ON "declaration_template"("requestKind", "version");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_clientId_idx" ON "session_notes_request"("clientId");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_status_idx" ON "session_notes_request"("status");
-
--- CreateIndex
-CREATE INDEX "session_notes_request_declarationTemplateId_idx" ON "session_notes_request"("declarationTemplateId");
diff --git a/prisma/migrations/20260426215909_add_client_clinician_user_id/migration.sql b/prisma/migrations/20260426215909_add_client_clinician_user_id/migration.sql
deleted file mode 100644
index edb850a..0000000
--- a/prisma/migrations/20260426215909_add_client_clinician_user_id/migration.sql
+++ /dev/null
@@ -1,194 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the `ace_form` table. If the table is not empty, all the data it contains will be lost.
-  - You are about to drop the `ace_question` table. If the table is not empty, all the data it contains will be lost.
-  - Added the required column `sessionName` to the `Appointment` table without a default value. This is not possible if the table is not empty.
-  - Added the required column `sessionNumber` to the `Appointment` table without a default value. This is not possible if the table is not empty.
-  - Added the required column `sessionName` to the `session_note` table without a default value. This is not possible if the table is not empty.
-  - Added the required column `sessionNumber` to the `session_note` table without a default value. This is not possible if the table is not empty.
-
-*/
--- DropIndex
-DROP INDEX "PhqForm_userId_key";
-
--- DropIndex
-DROP INDEX "ace_form_userId_idx";
-
--- DropIndex
-DROP INDEX "ace_form_userId_key";
-
--- DropIndex
-DROP INDEX "ace_question_userId_idx";
-
--- DropIndex
-DROP INDEX "ace_question_formId_key";
-
--- AlterTable
-ALTER TABLE "session_notes_request" ADD COLUMN "approvalReason" TEXT;
-ALTER TABLE "session_notes_request" ADD COLUMN "endDate" DATETIME;
-ALTER TABLE "session_notes_request" ADD COLUMN "startDate" DATETIME;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "ace_form";
-PRAGMA foreign_keys=on;
-
--- DropTable
-PRAGMA foreign_keys=off;
-DROP TABLE "ace_question";
-PRAGMA foreign_keys=on;
-
--- CreateTable
-CREATE TABLE "client_form_score_history" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "formKey" TEXT NOT NULL,
-    "score" INTEGER,
-    "severity" TEXT,
-    "recordedAt" DATETIME NOT NULL,
-    "answersJson" TEXT,
-    CONSTRAINT "client_form_score_history_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "AceForm" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
-    "totalScore" INTEGER,
-    "severity" TEXT,
-    "submittedAt" DATETIME,
-    CONSTRAINT "AceForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "AceQuestion" (
-    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
-    "formId" INTEGER NOT NULL,
-    "userId" TEXT NOT NULL,
-    "a01" TEXT,
-    "a02" TEXT,
-    "a03" TEXT,
-    "a04" TEXT,
-    "a05" TEXT,
-    "a06" TEXT,
-    "a07" TEXT,
-    "a08" TEXT,
-    "a09" TEXT,
-    "a10" TEXT,
-    CONSTRAINT "AceQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "AceForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "AceQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- CreateTable
-CREATE TABLE "notification" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "type" TEXT NOT NULL,
-    "title" TEXT NOT NULL,
-    "message" TEXT NOT NULL,
-    "sessionNoteId" TEXT,
-    "readAt" DATETIME,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "notification_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "notification_sessionNoteId_fkey" FOREIGN KEY ("sessionNoteId") REFERENCES "session_note" ("id") ON DELETE CASCADE ON UPDATE CASCADE
-);
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_Appointment" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "adminId" TEXT NOT NULL,
-    "title" TEXT NOT NULL,
-    "sessionName" TEXT NOT NULL,
-    "sessionNumber" INTEGER NOT NULL,
-    "description" TEXT,
-    "startTime" DATETIME NOT NULL,
-    "endTime" DATETIME NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'SCHEDULED',
-    "videoProvider" TEXT,
-    "videoJoinUrl" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL,
-    CONSTRAINT "Appointment_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
-    CONSTRAINT "Appointment_adminId_fkey" FOREIGN KEY ("adminId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE
-);
-INSERT INTO "new_Appointment" ("adminId", "clientId", "createdAt", "description", "endTime", "id", "startTime", "status", "title", "updatedAt") SELECT "adminId", "clientId", "createdAt", "description", "endTime", "id", "startTime", "status", "title", "updatedAt" FROM "Appointment";
-DROP TABLE "Appointment";
-ALTER TABLE "new_Appointment" RENAME TO "Appointment";
-CREATE INDEX "Appointment_clientId_idx" ON "Appointment"("clientId");
-CREATE INDEX "Appointment_adminId_idx" ON "Appointment"("adminId");
-CREATE UNIQUE INDEX "Appointment_clientId_sessionNumber_key" ON "Appointment"("clientId", "sessionNumber");
-CREATE TABLE "new_client" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "userId" TEXT NOT NULL,
-    "status" TEXT NOT NULL DEFAULT 'INCOMPLETE',
-    "waitlistedAt" DATETIME,
-    "archivedAt" DATETIME,
-    "therapyWeek" INTEGER,
-    "missedSessions" INTEGER NOT NULL DEFAULT 0,
-    "clinicianUserId" TEXT,
-    CONSTRAINT "client_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "client_clinicianUserId_fkey" FOREIGN KEY ("clinicianUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
-);
-INSERT INTO "new_client" ("id", "missedSessions", "status", "therapyWeek", "userId") SELECT "id", "missedSessions", "status", "therapyWeek", "userId" FROM "client";
-DROP TABLE "client";
-ALTER TABLE "new_client" RENAME TO "client";
-CREATE UNIQUE INDEX "client_userId_key" ON "client"("userId");
-CREATE INDEX "client_status_idx" ON "client"("status");
-CREATE INDEX "client_clinicianUserId_idx" ON "client"("clinicianUserId");
-CREATE TABLE "new_session_note" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "sessionName" TEXT NOT NULL,
-    "sessionNumber" INTEGER NOT NULL,
-    "appointmentId" TEXT,
-    "kind" TEXT NOT NULL DEFAULT 'PROGRESS',
-    "status" TEXT NOT NULL DEFAULT 'DRAFT',
-    "content" TEXT NOT NULL,
-    "attended" BOOLEAN NOT NULL DEFAULT true,
-    "signatureData" TEXT,
-    "clinicianSignedAt" DATETIME,
-    "clinicianSignedById" TEXT,
-    "clinicianSignatureData" TEXT,
-    "adminSignedAt" DATETIME,
-    "adminSignedById" TEXT,
-    "adminSignatureData" TEXT,
-    "adminApprovalNote" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "session_note_appointmentId_fkey" FOREIGN KEY ("appointmentId") REFERENCES "Appointment" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
-    CONSTRAINT "session_note_clinicianSignedById_fkey" FOREIGN KEY ("clinicianSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
-    CONSTRAINT "session_note_adminSignedById_fkey" FOREIGN KEY ("adminSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
-);
-INSERT INTO "new_session_note" ("clientId", "content", "createdAt", "id") SELECT "clientId", "content", "createdAt", "id" FROM "session_note";
-DROP TABLE "session_note";
-ALTER TABLE "new_session_note" RENAME TO "session_note";
-CREATE INDEX "session_note_clientId_idx" ON "session_note"("clientId");
-CREATE INDEX "session_note_appointmentId_idx" ON "session_note"("appointmentId");
-CREATE INDEX "session_note_status_idx" ON "session_note"("status");
-CREATE INDEX "session_note_kind_idx" ON "session_note"("kind");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
-
--- CreateIndex
-CREATE INDEX "client_form_score_history_userId_recordedAt_idx" ON "client_form_score_history"("userId", "recordedAt");
-
--- CreateIndex
-CREATE INDEX "AceForm_userId_idx" ON "AceForm"("userId");
-
--- CreateIndex
-CREATE UNIQUE INDEX "AceQuestion_formId_key" ON "AceQuestion"("formId");
-
--- CreateIndex
-CREATE INDEX "AceQuestion_userId_idx" ON "AceQuestion"("userId");
-
--- CreateIndex
-CREATE INDEX "notification_userId_readAt_idx" ON "notification"("userId", "readAt");
-
--- CreateIndex
-CREATE INDEX "notification_userId_createdAt_idx" ON "notification"("userId", "createdAt");
diff --git a/prisma/migrations/20260427031935_add_attendance_status/migration.sql b/prisma/migrations/20260427031935_add_attendance_status/migration.sql
deleted file mode 100644
index ad82aa1..0000000
--- a/prisma/migrations/20260427031935_add_attendance_status/migration.sql
+++ /dev/null
@@ -1,48 +0,0 @@
-/*
-  Warnings:
-
-  - You are about to drop the column `attended` on the `session_note` table. All the data in the column will be lost.
-
-*/
--- AlterTable
-ALTER TABLE "session_note_edit" ADD COLUMN "editedContent" TEXT;
-ALTER TABLE "session_note_edit" ADD COLUMN "newAttendanceStatus" TEXT;
-ALTER TABLE "session_note_edit" ADD COLUMN "oldAttendanceStatus" TEXT;
-
--- RedefineTables
-PRAGMA defer_foreign_keys=ON;
-PRAGMA foreign_keys=OFF;
-CREATE TABLE "new_session_note" (
-    "id" TEXT NOT NULL PRIMARY KEY,
-    "clientId" TEXT NOT NULL,
-    "content" TEXT NOT NULL,
-    "attendanceStatus" TEXT DEFAULT 'show',
-    "sessionName" TEXT NOT NULL,
-    "sessionNumber" INTEGER NOT NULL,
-    "appointmentId" TEXT,
-    "kind" TEXT NOT NULL DEFAULT 'PROGRESS',
-    "status" TEXT NOT NULL DEFAULT 'DRAFT',
-    "signatureData" TEXT,
-    "clinicianSignedAt" DATETIME,
-    "clinicianSignedById" TEXT,
-    "clinicianSignatureData" TEXT,
-    "adminSignedAt" DATETIME,
-    "adminSignedById" TEXT,
-    "adminSignatureData" TEXT,
-    "adminApprovalNote" TEXT,
-    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    "updatedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
-    CONSTRAINT "session_note_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
-    CONSTRAINT "session_note_appointmentId_fkey" FOREIGN KEY ("appointmentId") REFERENCES "Appointment" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
-    CONSTRAINT "session_note_clinicianSignedById_fkey" FOREIGN KEY ("clinicianSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
-    CONSTRAINT "session_note_adminSignedById_fkey" FOREIGN KEY ("adminSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
-);
-INSERT INTO "new_session_note" ("adminApprovalNote", "adminSignatureData", "adminSignedAt", "adminSignedById", "appointmentId", "clientId", "clinicianSignatureData", "clinicianSignedAt", "clinicianSignedById", "content", "createdAt", "id", "kind", "sessionName", "sessionNumber", "signatureData", "status", "updatedAt") SELECT "adminApprovalNote", "adminSignatureData", "adminSignedAt", "adminSignedById", "appointmentId", "clientId", "clinicianSignatureData", "clinicianSignedAt", "clinicianSignedById", "content", "createdAt", "id", "kind", "sessionName", "sessionNumber", "signatureData", "status", "updatedAt" FROM "session_note";
-DROP TABLE "session_note";
-ALTER TABLE "new_session_note" RENAME TO "session_note";
-CREATE INDEX "session_note_clientId_idx" ON "session_note"("clientId");
-CREATE INDEX "session_note_appointmentId_idx" ON "session_note"("appointmentId");
-CREATE INDEX "session_note_status_idx" ON "session_note"("status");
-CREATE INDEX "session_note_kind_idx" ON "session_note"("kind");
-PRAGMA foreign_keys=ON;
-PRAGMA defer_foreign_keys=OFF;
diff --git a/prisma/migrations/20260430214222_init/migration.sql b/prisma/migrations/20260430214222_init/migration.sql
new file mode 100644
index 0000000..d291463
--- /dev/null
+++ b/prisma/migrations/20260430214222_init/migration.sql
@@ -0,0 +1,582 @@
+-- CreateTable
+CREATE TABLE "Appointment" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "adminId" TEXT NOT NULL,
+    "title" TEXT NOT NULL,
+    "sessionName" TEXT NOT NULL,
+    "sessionNumber" INTEGER NOT NULL,
+    "description" TEXT,
+    "startTime" DATETIME NOT NULL,
+    "endTime" DATETIME NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'SCHEDULED',
+    "seriesId" TEXT,
+    "recurrence" TEXT NOT NULL,
+    "videoProvider" TEXT,
+    "videoJoinUrl" TEXT,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "Appointment_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
+    CONSTRAINT "Appointment_adminId_fkey" FOREIGN KEY ("adminId") REFERENCES "user" ("id") ON DELETE RESTRICT ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "client" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'INCOMPLETE',
+    "waitlistedAt" DATETIME,
+    "archivedAt" DATETIME,
+    "therapyWeek" INTEGER,
+    "missedSessions" INTEGER NOT NULL DEFAULT 0,
+    "clinicianUserId" TEXT,
+    CONSTRAINT "client_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "client_clinicianUserId_fkey" FOREIGN KEY ("clinicianUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "client_permission" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "canViewScores" BOOLEAN NOT NULL DEFAULT false,
+    "canViewNotes" BOOLEAN NOT NULL DEFAULT false,
+    "canViewPlan" BOOLEAN NOT NULL DEFAULT false,
+    CONSTRAINT "client_permission_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "client_plan" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "content" TEXT NOT NULL DEFAULT '',
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "client_plan_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "change_audit" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "entityType" TEXT NOT NULL,
+    "entityId" TEXT NOT NULL,
+    "oldValue" TEXT,
+    "newValue" TEXT,
+    "reasoning" TEXT,
+    "documentationPath" TEXT,
+    "documentationName" TEXT,
+    "signatureData" TEXT NOT NULL,
+    "signedById" TEXT NOT NULL,
+    "signedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    CONSTRAINT "change_audit_signedById_fkey" FOREIGN KEY ("signedById") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "client_form_score_history" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "userId" TEXT NOT NULL,
+    "formKey" TEXT NOT NULL,
+    "score" INTEGER,
+    "severity" TEXT,
+    "recordedAt" DATETIME NOT NULL,
+    "answersJson" TEXT,
+    CONSTRAINT "client_form_score_history_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "AceForm" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
+    "totalScore" INTEGER,
+    "severity" TEXT,
+    "submittedAt" DATETIME,
+    CONSTRAINT "AceForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "AceQuestion" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "formId" INTEGER NOT NULL,
+    "userId" TEXT NOT NULL,
+    "a01" TEXT,
+    "a02" TEXT,
+    "a03" TEXT,
+    "a04" TEXT,
+    "a05" TEXT,
+    "a06" TEXT,
+    "a07" TEXT,
+    "a08" TEXT,
+    "a09" TEXT,
+    "a10" TEXT,
+    CONSTRAINT "AceQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "AceForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "AceQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "AppForm" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
+    "submittedAt" DATETIME,
+    CONSTRAINT "AppForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "AppQuestion" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "formId" INTEGER NOT NULL,
+    "userId" TEXT NOT NULL,
+    "q01" TEXT,
+    "q02" TEXT,
+    "q03" TEXT,
+    "q04" TEXT,
+    "q05" TEXT,
+    "q06" TEXT,
+    "q07" TEXT,
+    "q08" TEXT,
+    "q09" TEXT,
+    "q10" TEXT,
+    "q11" TEXT,
+    "q12" TEXT,
+    "q13" TEXT,
+    "q14" TEXT,
+    "q15" TEXT,
+    "q16" TEXT,
+    "q17" TEXT,
+    "q18" TEXT,
+    "q19" TEXT,
+    "q20" TEXT,
+    "q21" TEXT,
+    "q22" TEXT,
+    "q23" TEXT,
+    "q24" TEXT,
+    "q25" TEXT,
+    "q26" TEXT,
+    "q27" TEXT,
+    "q28" TEXT,
+    "q29" TEXT,
+    "q30" TEXT,
+    "q31" TEXT,
+    "q32" TEXT,
+    "q33" TEXT,
+    "q34" TEXT,
+    "q35" TEXT,
+    "q36" TEXT,
+    "q37" TEXT,
+    "q38" TEXT,
+    "q39" TEXT,
+    "q40" TEXT,
+    "q41" TEXT,
+    "q42" TEXT,
+    "q43" TEXT,
+    "q44" TEXT,
+    "q45" TEXT,
+    "q46" TEXT,
+    "q47" TEXT,
+    "q48" TEXT,
+    "q49" TEXT,
+    "q50" TEXT,
+    CONSTRAINT "AppQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "AppForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "AppQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "GadForm" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
+    "totalScore" INTEGER,
+    "severity" TEXT,
+    "submittedAt" DATETIME,
+    CONSTRAINT "GadForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "GadQuestion" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "formId" INTEGER NOT NULL,
+    "userId" TEXT NOT NULL,
+    "g01" INTEGER,
+    "g02" INTEGER,
+    "g03" INTEGER,
+    "g04" INTEGER,
+    "g05" INTEGER,
+    "g06" INTEGER,
+    "g07" INTEGER,
+    "g08" INTEGER,
+    CONSTRAINT "GadQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "GadForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "GadQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "PhqForm" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
+    "totalScore" INTEGER,
+    "severity" TEXT,
+    "submittedAt" DATETIME,
+    CONSTRAINT "PhqForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "PhqQuestion" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "formId" INTEGER NOT NULL,
+    "userId" TEXT NOT NULL,
+    "q1" INTEGER,
+    "q2" INTEGER,
+    "q3" INTEGER,
+    "q4" INTEGER,
+    "q5" INTEGER,
+    "q6" INTEGER,
+    "q7" INTEGER,
+    "q8" INTEGER,
+    "q9" INTEGER,
+    "q10" INTEGER,
+    CONSTRAINT "PhqQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PhqForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "PhqQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "PclForm" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'IN_PROGRESS',
+    "totalScore" INTEGER,
+    "severity" TEXT,
+    "submittedAt" DATETIME,
+    CONSTRAINT "PclForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "PclQuestion" (
+    "id" INTEGER NOT NULL PRIMARY KEY AUTOINCREMENT,
+    "formId" INTEGER NOT NULL,
+    "userId" TEXT NOT NULL,
+    "worstEvent" TEXT,
+    "q01" INTEGER,
+    "q02" INTEGER,
+    "q03" INTEGER,
+    "q04" INTEGER,
+    "q05" INTEGER,
+    "q06" INTEGER,
+    "q07" INTEGER,
+    "q08" INTEGER,
+    "q09" INTEGER,
+    "q10" INTEGER,
+    "q11" INTEGER,
+    "q12" INTEGER,
+    "q13" INTEGER,
+    "q14" INTEGER,
+    "q15" INTEGER,
+    "q16" INTEGER,
+    "q17" INTEGER,
+    "q18" INTEGER,
+    "q19" INTEGER,
+    "q20" INTEGER,
+    CONSTRAINT "PclQuestion_formId_fkey" FOREIGN KEY ("formId") REFERENCES "PclForm" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "PclQuestion_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "PhysicianStatementForm" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
+    "originalFileName" TEXT,
+    "storedFileName" TEXT,
+    "mimeType" TEXT,
+    "uploadedAt" DATETIME,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "PhysicianStatementForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "ReleaseOfInformationAuthorizationForm" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "userId" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'NOT_SUBMITTED',
+    "originalFileName" TEXT,
+    "storedFileName" TEXT,
+    "mimeType" TEXT,
+    "uploadedAt" DATETIME,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "ReleaseOfInformationAuthorizationForm_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "session_note" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "content" TEXT NOT NULL,
+    "attendanceStatus" TEXT DEFAULT 'show',
+    "sessionName" TEXT NOT NULL,
+    "sessionNumber" INTEGER NOT NULL,
+    "appointmentId" TEXT,
+    "kind" TEXT NOT NULL DEFAULT 'PROGRESS',
+    "status" TEXT NOT NULL DEFAULT 'DRAFT',
+    "signatureData" TEXT,
+    "clinicianSignedAt" DATETIME,
+    "clinicianSignedById" TEXT,
+    "clinicianSignatureData" TEXT,
+    "adminSignedAt" DATETIME,
+    "adminSignedById" TEXT,
+    "adminSignatureData" TEXT,
+    "adminApprovalNote" TEXT,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    CONSTRAINT "session_note_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "session_note_appointmentId_fkey" FOREIGN KEY ("appointmentId") REFERENCES "Appointment" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
+    CONSTRAINT "session_note_clinicianSignedById_fkey" FOREIGN KEY ("clinicianSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
+    CONSTRAINT "session_note_adminSignedById_fkey" FOREIGN KEY ("adminSignedById") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "session_note_edit" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "sessionNoteId" TEXT NOT NULL,
+    "originalContent" TEXT,
+    "editedContent" TEXT,
+    "oldAttendanceStatus" TEXT,
+    "newAttendanceStatus" TEXT,
+    "reason" TEXT,
+    "signature" TEXT,
+    "editedAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    CONSTRAINT "session_note_edit_sessionNoteId_fkey" FOREIGN KEY ("sessionNoteId") REFERENCES "session_note" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "notification" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "userId" TEXT NOT NULL,
+    "type" TEXT NOT NULL,
+    "title" TEXT NOT NULL,
+    "message" TEXT NOT NULL,
+    "sessionNoteId" TEXT,
+    "readAt" DATETIME,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    CONSTRAINT "notification_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "notification_sessionNoteId_fkey" FOREIGN KEY ("sessionNoteId") REFERENCES "session_note" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "declaration_template" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "requestKind" TEXT NOT NULL,
+    "version" INTEGER NOT NULL,
+    "content" TEXT NOT NULL,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP
+);
+
+-- CreateTable
+CREATE TABLE "session_notes_request" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "requestKind" TEXT NOT NULL,
+    "status" TEXT NOT NULL DEFAULT 'PENDING',
+    "signatureData" TEXT NOT NULL,
+    "declarationTemplateId" TEXT NOT NULL,
+    "startDate" DATETIME,
+    "endDate" DATETIME,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "decidedAt" DATETIME,
+    "decidedByUserId" TEXT,
+    "approvalReason" TEXT,
+    "rejectionReason" TEXT,
+    "approvedSummaryText" TEXT,
+    CONSTRAINT "session_notes_request_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "client" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "session_notes_request_declarationTemplateId_fkey" FOREIGN KEY ("declarationTemplateId") REFERENCES "declaration_template" ("id") ON DELETE RESTRICT ON UPDATE CASCADE,
+    CONSTRAINT "session_notes_request_decidedByUserId_fkey" FOREIGN KEY ("decidedByUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "user" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "name" TEXT NOT NULL,
+    "email" TEXT NOT NULL,
+    "emailVerified" BOOLEAN NOT NULL DEFAULT false,
+    "image" TEXT,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    "role" TEXT NOT NULL DEFAULT 'CLIENT',
+    "phoneNumber" INTEGER
+);
+
+-- CreateTable
+CREATE TABLE "session" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "expiresAt" DATETIME NOT NULL,
+    "token" TEXT NOT NULL,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    "ipAddress" TEXT,
+    "userAgent" TEXT,
+    "userId" TEXT NOT NULL,
+    CONSTRAINT "session_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "account" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "accountId" TEXT NOT NULL,
+    "providerId" TEXT NOT NULL,
+    "userId" TEXT NOT NULL,
+    "accessToken" TEXT,
+    "refreshToken" TEXT,
+    "idToken" TEXT,
+    "accessTokenExpiresAt" DATETIME,
+    "refreshTokenExpiresAt" DATETIME,
+    "scope" TEXT,
+    "password" TEXT,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "account_userId_fkey" FOREIGN KEY ("userId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE
+);
+
+-- CreateTable
+CREATE TABLE "verification" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "identifier" TEXT NOT NULL,
+    "value" TEXT NOT NULL,
+    "expiresAt" DATETIME NOT NULL,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL
+);
+
+-- CreateIndex
+CREATE INDEX "Appointment_clientId_idx" ON "Appointment"("clientId");
+
+-- CreateIndex
+CREATE INDEX "Appointment_adminId_idx" ON "Appointment"("adminId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "Appointment_clientId_sessionNumber_key" ON "Appointment"("clientId", "sessionNumber");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "client_userId_key" ON "client"("userId");
+
+-- CreateIndex
+CREATE INDEX "client_status_idx" ON "client"("status");
+
+-- CreateIndex
+CREATE INDEX "client_clinicianUserId_idx" ON "client"("clinicianUserId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "client_permission_clientId_key" ON "client_permission"("clientId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "client_plan_clientId_key" ON "client_plan"("clientId");
+
+-- CreateIndex
+CREATE INDEX "change_audit_entityType_entityId_idx" ON "change_audit"("entityType", "entityId");
+
+-- CreateIndex
+CREATE INDEX "client_form_score_history_userId_recordedAt_idx" ON "client_form_score_history"("userId", "recordedAt");
+
+-- CreateIndex
+CREATE INDEX "AceForm_userId_idx" ON "AceForm"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "AceQuestion_formId_key" ON "AceQuestion"("formId");
+
+-- CreateIndex
+CREATE INDEX "AceQuestion_userId_idx" ON "AceQuestion"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "AppForm_userId_key" ON "AppForm"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "AppQuestion_formId_key" ON "AppQuestion"("formId");
+
+-- CreateIndex
+CREATE INDEX "AppQuestion_userId_idx" ON "AppQuestion"("userId");
+
+-- CreateIndex
+CREATE INDEX "GadForm_userId_idx" ON "GadForm"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "GadQuestion_formId_key" ON "GadQuestion"("formId");
+
+-- CreateIndex
+CREATE INDEX "GadQuestion_userId_idx" ON "GadQuestion"("userId");
+
+-- CreateIndex
+CREATE INDEX "PhqForm_userId_idx" ON "PhqForm"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "PhqQuestion_formId_key" ON "PhqQuestion"("formId");
+
+-- CreateIndex
+CREATE INDEX "PhqQuestion_userId_idx" ON "PhqQuestion"("userId");
+
+-- CreateIndex
+CREATE INDEX "PclForm_userId_idx" ON "PclForm"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "PclQuestion_formId_key" ON "PclQuestion"("formId");
+
+-- CreateIndex
+CREATE INDEX "PclQuestion_userId_idx" ON "PclQuestion"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "PhysicianStatementForm_userId_key" ON "PhysicianStatementForm"("userId");
+
+-- CreateIndex
+CREATE INDEX "PhysicianStatementForm_status_idx" ON "PhysicianStatementForm"("status");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "ReleaseOfInformationAuthorizationForm_userId_key" ON "ReleaseOfInformationAuthorizationForm"("userId");
+
+-- CreateIndex
+CREATE INDEX "ReleaseOfInformationAuthorizationForm_status_idx" ON "ReleaseOfInformationAuthorizationForm"("status");
+
+-- CreateIndex
+CREATE INDEX "session_note_clientId_idx" ON "session_note"("clientId");
+
+-- CreateIndex
+CREATE INDEX "session_note_appointmentId_idx" ON "session_note"("appointmentId");
+
+-- CreateIndex
+CREATE INDEX "session_note_status_idx" ON "session_note"("status");
+
+-- CreateIndex
+CREATE INDEX "session_note_kind_idx" ON "session_note"("kind");
+
+-- CreateIndex
+CREATE INDEX "session_note_edit_sessionNoteId_idx" ON "session_note_edit"("sessionNoteId");
+
+-- CreateIndex
+CREATE INDEX "notification_userId_readAt_idx" ON "notification"("userId", "readAt");
+
+-- CreateIndex
+CREATE INDEX "notification_userId_createdAt_idx" ON "notification"("userId", "createdAt");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "declaration_template_requestKind_version_key" ON "declaration_template"("requestKind", "version");
+
+-- CreateIndex
+CREATE INDEX "session_notes_request_clientId_idx" ON "session_notes_request"("clientId");
+
+-- CreateIndex
+CREATE INDEX "session_notes_request_status_idx" ON "session_notes_request"("status");
+
+-- CreateIndex
+CREATE INDEX "session_notes_request_declarationTemplateId_idx" ON "session_notes_request"("declarationTemplateId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "user_email_key" ON "user"("email");
+
+-- CreateIndex
+CREATE INDEX "session_userId_idx" ON "session"("userId");
+
+-- CreateIndex
+CREATE UNIQUE INDEX "session_token_key" ON "session"("token");
+
+-- CreateIndex
+CREATE INDEX "account_userId_idx" ON "account"("userId");
+
+-- CreateIndex
+CREATE INDEX "verification_identifier_idx" ON "verification"("identifier");
diff --git a/prisma/migrations/20260501033729_appointment_schedule_requests/migration.sql b/prisma/migrations/20260501033729_appointment_schedule_requests/migration.sql
new file mode 100644
index 0000000..36f06fc
--- /dev/null
+++ b/prisma/migrations/20260501033729_appointment_schedule_requests/migration.sql
@@ -0,0 +1,27 @@
+-- CreateTable
+CREATE TABLE "appointment_schedule_request" (
+    "id" TEXT NOT NULL PRIMARY KEY,
+    "clientId" TEXT NOT NULL,
+    "requestedStartTime" DATETIME NOT NULL,
+    "requestedEndTime" DATETIME NOT NULL,
+    "message" TEXT,
+    "status" TEXT NOT NULL DEFAULT 'PENDING',
+    "decidedAt" DATETIME,
+    "decidedByUserId" TEXT,
+    "staffResponseNote" TEXT,
+    "createdAppointmentId" TEXT,
+    "createdAt" DATETIME NOT NULL DEFAULT CURRENT_TIMESTAMP,
+    "updatedAt" DATETIME NOT NULL,
+    CONSTRAINT "appointment_schedule_request_clientId_fkey" FOREIGN KEY ("clientId") REFERENCES "user" ("id") ON DELETE CASCADE ON UPDATE CASCADE,
+    CONSTRAINT "appointment_schedule_request_decidedByUserId_fkey" FOREIGN KEY ("decidedByUserId") REFERENCES "user" ("id") ON DELETE SET NULL ON UPDATE CASCADE,
+    CONSTRAINT "appointment_schedule_request_createdAppointmentId_fkey" FOREIGN KEY ("createdAppointmentId") REFERENCES "Appointment" ("id") ON DELETE SET NULL ON UPDATE CASCADE
+);
+
+-- CreateIndex
+CREATE UNIQUE INDEX "appointment_schedule_request_createdAppointmentId_key" ON "appointment_schedule_request"("createdAppointmentId");
+
+-- CreateIndex
+CREATE INDEX "appointment_schedule_request_clientId_idx" ON "appointment_schedule_request"("clientId");
+
+-- CreateIndex
+CREATE INDEX "appointment_schedule_request_status_idx" ON "appointment_schedule_request"("status");
diff --git a/prisma/schema/appointments.prisma b/prisma/schema/appointments.prisma
index 01f34b6..2629e0f 100644
--- a/prisma/schema/appointments.prisma
+++ b/prisma/schema/appointments.prisma
@@ -5,6 +5,13 @@ enum VideoConferenceProvider {
   OTHER
 }
 
+/** Client-requested session times (not booked until staff accepts). */
+enum AppointmentScheduleRequestStatus {
+  PENDING
+  ACCEPTED
+  DENIED
+}
+
 model Appointment {
   id          String   @id @default(cuid())
   
@@ -34,9 +41,34 @@ model Appointment {
   admin       User     @relation("AdminAppointments", fields: [adminId], references: [id], onDelete: Restrict)
   
   sessionNotes    SessionNote[]            @relation("AppointmentSessionNotes")
+  originScheduleRequest AppointmentScheduleRequest?
 
   @@index([clientId])
   @@index([adminId])
   @@unique([clientId, sessionNumber])
   @@map("Appointment")
 }
+
+model AppointmentScheduleRequest {
+  id                   String                           @id @default(cuid())
+  clientId             String
+  requestedStartTime   DateTime
+  requestedEndTime     DateTime
+  message              String?
+  status               AppointmentScheduleRequestStatus   @default(PENDING)
+  decidedAt            DateTime?
+  decidedByUserId      String?
+  staffResponseNote    String?
+  createdAppointmentId String?                          @unique
+
+  createdAt DateTime @default(now())
+  updatedAt DateTime @updatedAt
+
+  client             User          @relation("ClientScheduleRequests", fields: [clientId], references: [id], onDelete: Cascade)
+  decidedBy          User?         @relation("StaffScheduleRequestDecisions", fields: [decidedByUserId], references: [id], onDelete: SetNull)
+  createdAppointment Appointment?  @relation(fields: [createdAppointmentId], references: [id], onDelete: SetNull)
+
+  @@index([clientId])
+  @@index([status])
+  @@map("appointment_schedule_request")
+}
diff --git a/prisma/schema/user.prisma b/prisma/schema/user.prisma
index 11e77c3..cfc7c05 100644
--- a/prisma/schema/user.prisma
+++ b/prisma/schema/user.prisma
@@ -36,6 +36,8 @@ model User {
   sessionNotesRequestsDecided           SessionNotesRequest[]
   appointmentsAsClient                  Appointment[]                          @relation("ClientAppointments")
   appointmentsAsAdmin                   Appointment[]                          @relation("AdminAppointments")
+  clientScheduleRequests                AppointmentScheduleRequest[]           @relation("ClientScheduleRequests")
+  staffScheduleRequestDecisions         AppointmentScheduleRequest[]           @relation("StaffScheduleRequestDecisions")
   physicianStatementForm                PhysicianStatementForm?
   releaseOfInformationAuthorizationForm ReleaseOfInformationAuthorizationForm?
   clientFormScoreHistory              ClientFormScoreHistory[]
diff --git a/server/api/admin/dashboard-stats.get.ts b/server/api/admin/dashboard-stats.get.ts
index a883d66..9287a69 100644
--- a/server/api/admin/dashboard-stats.get.ts
+++ b/server/api/admin/dashboard-stats.get.ts
@@ -55,6 +55,16 @@ export default defineEventHandler(async (event) => {
     ? { status: 'PENDING' as const, client: { clinicianUserId: session.user.id } }
     : { status: 'PENDING' as const }
 
+  /** Schedule requests use clientId → User; scope by User.client (profile) → clinician. */
+  const pendingScheduleRequestWhere = isClinicianViewer
+    ? {
+        status: 'PENDING' as const,
+        client: {
+          client: { clinicianUserId: session.user.id },
+        },
+      }
+    : { status: 'PENDING' as const }
+
   // Pending note approvals: only admins can act on this queue, so clinicians
   // see 0 (their own CLINICIAN_SIGNED notes aren't "pending approval" to them).
   const pendingNoteApprovalsWhere = isClinicianViewer
@@ -65,6 +75,7 @@ export default defineEventHandler(async (event) => {
     userCount,
     clientCount,
     pendingSessionNotesRequests,
+    pendingAppointmentScheduleRequests,
     pendingNoteApprovals,
     unreadNotifications,
     viewerClient,
@@ -74,6 +85,7 @@ export default defineEventHandler(async (event) => {
       : prisma.user.count(),
     prisma.client.count({ where: clientWhere }),
     prisma.sessionNotesRequest.count({ where: pendingWhere }),
+    prisma.appointmentScheduleRequest.count({ where: pendingScheduleRequestWhere }),
     prisma.sessionNote.count({ where: pendingNoteApprovalsWhere }),
     prisma.notification.count({
       where: { userId: session.user.id, readAt: null },
@@ -94,6 +106,7 @@ export default defineEventHandler(async (event) => {
     userCount,
     clientCount,
     pendingSessionNotesRequests,
+    pendingAppointmentScheduleRequests,
     pendingNoteApprovals,
     unreadNotifications,
     displayName,
diff --git a/server/api/appointment-schedule-requests/[id].patch.ts b/server/api/appointment-schedule-requests/[id].patch.ts
new file mode 100644
index 0000000..9fad917
--- /dev/null
+++ b/server/api/appointment-schedule-requests/[id].patch.ts
@@ -0,0 +1,164 @@
+import { requireStaff } from '../../utils/guard'
+import { assertStaffCanAccessClient } from '../../utils/clinician-access'
+import { createError, defineEventHandler, getRouterParam, readBody } from 'h3'
+import { z } from 'zod'
+import { prisma } from '../../utils/prisma'
+import { sendAppEmail } from '../../utils/mail'
+import { formatStoredUserNameInitials } from '../../utils/name'
+import { createStaffAppointment } from '../../utils/create-staff-appointment'
+
+const bodySchema = z
+  .object({
+    action: z.enum(['accept', 'deny']),
+    staffResponseNote: z.string().optional(),
+  })
+  .superRefine((data, ctx) => {
+    if (data.action === 'deny') {
+      const r = String(data.staffResponseNote ?? '').trim()
+      if (r.length < 3) {
+        ctx.addIssue({
+          code: 'custom',
+          message: 'Please explain why this request is denied (at least a few characters).',
+          path: ['staffResponseNote'],
+        })
+      }
+    }
+  })
+
+export default defineEventHandler(async (event) => {
+  const user = requireStaff(event)
+  const id = getRouterParam(event, 'id')
+  if (!id) {
+    throw createError({ statusCode: 400, statusMessage: 'Missing id' })
+  }
+
+  const parsed = bodySchema.safeParse(await readBody(event))
+  if (!parsed.success) {
+    const msg = parsed.error.issues[0]?.message ?? 'Invalid request'
+    throw createError({ statusCode: 400, statusMessage: msg })
+  }
+
+  const req = await prisma.appointmentScheduleRequest.findUnique({
+    where: { id },
+    include: {
+      client: { select: { id: true, email: true, name: true } },
+    },
+  })
+
+  if (!req) {
+    throw createError({ statusCode: 404, statusMessage: 'Request not found' })
+  }
+
+  await assertStaffCanAccessClient(event, req.clientId)
+
+  if (req.status !== 'PENDING') {
+    throw createError({ statusCode: 409, statusMessage: 'Request is no longer pending' })
+  }
+
+  const now = new Date()
+  const start = req.requestedStartTime
+  const end = req.requestedEndTime
+
+  if (parsed.data.action === 'accept' && start < now) {
+    throw createError({
+      statusCode: 400,
+      statusMessage: 'This requested start time is already in the past. Ask the client to update the request.',
+    })
+  }
+
+  const clientInitials = formatStoredUserNameInitials(req.client.name)
+  const greeting =
+    clientInitials.length > 0 ? `<p>Hello ${escapeHtml(clientInitials)},</p>` : '<p>Hello,</p>'
+
+  const rangeHtml = `<p><strong>Requested time:</strong> ${escapeHtml(formatRange(start, end))}</p>`
+
+  if (parsed.data.action === 'deny') {
+    const note = String(parsed.data.staffResponseNote ?? '').trim()
+    await prisma.appointmentScheduleRequest.update({
+      where: { id },
+      data: {
+        status: 'DENIED',
+        decidedAt: now,
+        decidedByUserId: user.id,
+        staffResponseNote: note,
+      },
+    })
+
+    await sendAppEmail({
+      to: req.client.email,
+      subject: '[HCH] Session time request update',
+      html: `
+        ${greeting}
+        <p>Your requested session time could not be scheduled.</p>
+        ${rangeHtml}
+        <p><strong>Message from the clinic:</strong></p>
+        <p>${escapeHtml(note).replace(/\n/g, '<br/>')}</p>
+        <p>You can submit a new request from your dashboard if you need a different time.</p>
+      `,
+    })
+
+    return { id, status: 'DENIED' as const }
+  }
+
+  const appointment = await prisma.$transaction(async (tx) => {
+    const appt = await createStaffAppointment(tx, {
+      staffUserId: user.id,
+      clientUserId: req.clientId,
+      startTime: start,
+      endTime: end,
+      description: req.message,
+      videoProvider: null,
+      videoJoinUrl: null,
+    })
+
+    await tx.appointmentScheduleRequest.update({
+      where: { id },
+      data: {
+        status: 'ACCEPTED',
+        decidedAt: now,
+        decidedByUserId: user.id,
+        staffResponseNote: null,
+        createdAppointmentId: appt.id,
+      },
+    })
+
+    return appt
+  })
+
+  await sendAppEmail({
+    to: req.client.email,
+    subject: '[HCH] Session time approved',
+    html: `
+      ${greeting}
+      <p>Your requested session time has been <strong>approved</strong> and added to the calendar.</p>
+      ${rangeHtml}
+      <p>Sign in to the client portal and open <strong>Calendar</strong> to see the confirmed appointment.</p>
+    `,
+  })
+
+  return {
+    id,
+    status: 'ACCEPTED' as const,
+    appointmentId: appointment.id,
+  }
+})
+
+function escapeHtml(s: string): string {
+  return s
+    .replace(/&/g, '&amp;')
+    .replace(/</g, '&lt;')
+    .replace(/>/g, '&gt;')
+    .replace(/"/g, '&quot;')
+}
+
+function formatRange(start: Date, end: Date): string {
+  const d = new Intl.DateTimeFormat('en-US', {
+    weekday: 'short',
+    month: 'short',
+    day: 'numeric',
+    year: 'numeric',
+  }).format(start)
+  const t0 = new Intl.DateTimeFormat('en-US', { hour: 'numeric', minute: '2-digit' }).format(start)
+  const t1 = new Intl.DateTimeFormat('en-US', { hour: 'numeric', minute: '2-digit' }).format(end)
+  return `${d} · ${t0} – ${t1}`
+}
diff --git a/server/api/appointment-schedule-requests/index.get.ts b/server/api/appointment-schedule-requests/index.get.ts
new file mode 100644
index 0000000..324cc0b
--- /dev/null
+++ b/server/api/appointment-schedule-requests/index.get.ts
@@ -0,0 +1,76 @@
+import { requireStaff } from '../../utils/guard'
+import { defineEventHandler } from 'h3'
+import { prisma } from '../../utils/prisma'
+
+function mapRow(r: {
+  id: string
+  requestedStartTime: Date
+  requestedEndTime: Date
+  message: string | null
+  status: string
+  createdAt: Date
+  decidedAt: Date | null
+  staffResponseNote: string | null
+  createdAppointmentId: string | null
+  client: { id: string; name: string; email: string }
+}) {
+  return {
+    id: r.id,
+    clientUserId: r.client.id,
+    clientName: r.client.name,
+    clientEmail: r.client.email,
+    requestedStartTime: r.requestedStartTime.toISOString(),
+    requestedEndTime: r.requestedEndTime.toISOString(),
+    message: r.message,
+    status: r.status,
+    createdAt: r.createdAt.toISOString(),
+    decidedAt: r.decidedAt?.toISOString() ?? null,
+    staffResponseNote: r.staffResponseNote,
+    createdAppointmentId: r.createdAppointmentId,
+  }
+}
+
+export default defineEventHandler(async (event) => {
+  const user = requireStaff(event)
+  const isClinicianViewer = event.context.isClinician === true && !event.context.isAdmin
+
+  /** Request.client is the client's User row; User.client is the Client profile (has clinicianUserId). */
+  const assignedClinicianOnly = isClinicianViewer
+    ? {
+        client: {
+          client: {
+            clinicianUserId: user.id,
+          },
+        },
+      }
+    : {}
+
+  const [pending, history] = await Promise.all([
+    prisma.appointmentScheduleRequest.findMany({
+      where: {
+        status: 'PENDING',
+        ...assignedClinicianOnly,
+      },
+      include: {
+        client: { select: { id: true, name: true, email: true } },
+      },
+      orderBy: { createdAt: 'asc' },
+    }),
+    prisma.appointmentScheduleRequest.findMany({
+      where: {
+        status: { in: ['ACCEPTED', 'DENIED'] },
+        ...assignedClinicianOnly,
+      },
+      include: {
+        client: { select: { id: true, name: true, email: true } },
+      },
+      orderBy: { decidedAt: 'desc' },
+      take: 40,
+    }),
+  ])
+
+  return {
+    pending: pending.map(mapRow),
+    history: history.map(mapRow),
+  }
+})
diff --git a/server/api/appointments/index.post.ts b/server/api/appointments/index.post.ts
index 1b398ce..d0199ce 100644
--- a/server/api/appointments/index.post.ts
+++ b/server/api/appointments/index.post.ts
@@ -4,28 +4,7 @@ import { prisma } from '../../utils/prisma'
 import { readBody, createError, defineEventHandler } from 'h3'
 import { normalizeVideoJoinUrl, parseVideoProviderInput } from '../../utils/video-conference'
 import type { VideoConferenceProvider } from '../../../prisma/generated/enums'
-
-function sanitizeNamePart(part: string | null | undefined) {
-  const normalized = (part ?? '').trim().replace(/\s+/g, '_')
-  return normalized.replace(/[^A-Za-z0-9_]/g, '')
-}
-
-function deriveSessionName(fullName: string | null | undefined, sessionNumber: number) {
-  const raw = (fullName ?? '').trim()
-  const pieces = raw.split(/\s+/).filter(Boolean)
-
-  const first = sanitizeNamePart(pieces[0] ?? 'Client') || 'Client'
-  const last = sanitizeNamePart(pieces.slice(1).join('_') || 'Unknown') || 'Unknown'
-
-  return `${first}_${last}_${String(sessionNumber).padStart(2, '0')}`
-}
-
-function nextAvailableNumber(used: number[]) {
-  const usedSet = new Set(used.filter((n) => Number.isInteger(n) && n > 0))
-  let candidate = 1
-  while (usedSet.has(candidate)) candidate += 1
-  return candidate
-}
+import { createStaffAppointment } from '../../utils/create-staff-appointment'
 
 export default defineEventHandler(async (event) => {
   try {
@@ -82,66 +61,25 @@ export default defineEventHandler(async (event) => {
       })
     }
 
-    const [clientUser, existingAppointments] = await Promise.all([
-      prisma.user.findUnique({
-        where: { id: clientId },
-        select: { name: true, role: true },
-      }),
-      prisma.appointment.findMany({
-        where: { clientId },
-        select: { sessionNumber: true, status: true },
-      }),
-    ])
-
-    if (!clientUser || clientUser.role !== 'CLIENT') {
-      throw createError({
-        statusCode: 400,
-        statusMessage: 'Invalid client ID',
-      })
-    }
-
-    const activeSessionNumbers = existingAppointments
-      .filter((a) => {
-        const normalized = String(a.status ?? '').toUpperCase()
-        return normalized !== 'CANCELED' && normalized !== 'CANCELLED'
-      })
-      .map((a) => a.sessionNumber)
-
-    const sessionNumber = nextAvailableNumber(activeSessionNumbers)
-    const sessionName = deriveSessionName(clientUser.name, sessionNumber)
-
-    const appointment = await prisma.appointment.create({
-      data: {
-        clientId,
-        adminId,
-        title: sessionName,
-        sessionName,
-        sessionNumber,
-        description,
+    let appointment
+    try {
+      appointment = await createStaffAppointment(prisma, {
+        staffUserId: adminId,
+        clientUserId: clientId,
         startTime: start,
         endTime: end,
-        status: 'SCHEDULED',
+        description,
         videoProvider: parsedProvider ?? null,
         videoJoinUrl: normalizedJoin ?? null,
-      },
-    })
-
-    const clientRow = await prisma.client.findUnique({
-      where: { userId: clientId },
-      select: { id: true },
-    })
-
-    if (clientRow) {
-      await prisma.sessionNote.create({
-        data: {
-          clientId: clientRow.id,
-          appointmentId: appointment.id,
-          sessionName,
-          sessionNumber,
-          content: '',
-          attendanceStatus: 'show',
-        },
       })
+    } catch (e: unknown) {
+      if (e instanceof Error && e.message === 'INVALID_CLIENT') {
+        throw createError({
+          statusCode: 400,
+          statusMessage: 'Invalid client ID',
+        })
+      }
+      throw e
     }
 
     return {
diff --git a/server/api/client/schedule-requests.get.ts b/server/api/client/schedule-requests.get.ts
new file mode 100644
index 0000000..736dfd9
--- /dev/null
+++ b/server/api/client/schedule-requests.get.ts
@@ -0,0 +1,45 @@
+import { createError, defineEventHandler } from 'h3'
+import { prisma } from '../../utils/prisma'
+import { requireClientUser } from '../../utils/guard'
+
+export default defineEventHandler(async (event) => {
+  const user = requireClientUser(event)
+
+  const clientRow = await prisma.client.findUnique({
+    where: { userId: user.id },
+    select: { id: true },
+  })
+  if (!clientRow) {
+    throw createError({ statusCode: 403, statusMessage: 'Client profile not found' })
+  }
+
+  const rows = await prisma.appointmentScheduleRequest.findMany({
+    where: { clientId: user.id },
+    orderBy: { createdAt: 'desc' },
+    select: {
+      id: true,
+      requestedStartTime: true,
+      requestedEndTime: true,
+      message: true,
+      status: true,
+      createdAt: true,
+      updatedAt: true,
+      decidedAt: true,
+      staffResponseNote: true,
+      createdAppointmentId: true,
+    },
+  })
+
+  return rows.map((r) => ({
+    id: r.id,
+    requestedStartTime: r.requestedStartTime.toISOString(),
+    requestedEndTime: r.requestedEndTime.toISOString(),
+    message: r.message,
+    status: r.status,
+    createdAt: r.createdAt.toISOString(),
+    updatedAt: r.updatedAt.toISOString(),
+    decidedAt: r.decidedAt?.toISOString() ?? null,
+    staffResponseNote: r.staffResponseNote,
+    createdAppointmentId: r.createdAppointmentId,
+  }))
+})
diff --git a/server/api/client/schedule-requests.post.ts b/server/api/client/schedule-requests.post.ts
new file mode 100644
index 0000000..97bdaf4
--- /dev/null
+++ b/server/api/client/schedule-requests.post.ts
@@ -0,0 +1,80 @@
+import { createError, defineEventHandler, readBody } from 'h3'
+import { prisma } from '../../utils/prisma'
+import { requireClientUser } from '../../utils/guard'
+
+function validateSlot(start: Date, end: Date) {
+  const now = new Date()
+  if (Number.isNaN(start.getTime()) || Number.isNaN(end.getTime())) {
+    return 'Invalid date or time.'
+  }
+  if (end <= start) {
+    return 'End time must be after start time.'
+  }
+  if (start < now) {
+    return 'Cannot request time slots in the past.'
+  }
+  return null
+}
+
+export default defineEventHandler(async (event) => {
+  const user = requireClientUser(event)
+
+  const clientRow = await prisma.client.findUnique({
+    where: { userId: user.id },
+    select: { id: true },
+  })
+  if (!clientRow) {
+    throw createError({ statusCode: 403, statusMessage: 'Client profile not found' })
+  }
+
+  const body = await readBody(event)
+  const { date, startTime, endTime, message } = body as {
+    date?: string
+    startTime?: string
+    endTime?: string
+    message?: string
+  }
+
+  if (!date || !startTime || !endTime) {
+    throw createError({
+      statusCode: 400,
+      statusMessage: 'Missing date, startTime, or endTime',
+    })
+  }
+
+  const start = new Date(`${date}T${startTime}`)
+  const end = new Date(`${date}T${endTime}`)
+  const slotErr = validateSlot(start, end)
+  if (slotErr) {
+    throw createError({ statusCode: 400, statusMessage: slotErr })
+  }
+
+  const msg =
+    typeof message === 'string' && message.trim().length > 0 ? message.trim().slice(0, 2000) : null
+
+  const row = await prisma.appointmentScheduleRequest.create({
+    data: {
+      clientId: user.id,
+      requestedStartTime: start,
+      requestedEndTime: end,
+      message: msg,
+    },
+    select: {
+      id: true,
+      requestedStartTime: true,
+      requestedEndTime: true,
+      message: true,
+      status: true,
+      createdAt: true,
+    },
+  })
+
+  return {
+    id: row.id,
+    requestedStartTime: row.requestedStartTime.toISOString(),
+    requestedEndTime: row.requestedEndTime.toISOString(),
+    message: row.message,
+    status: row.status,
+    createdAt: row.createdAt.toISOString(),
+  }
+})
diff --git a/server/api/client/schedule-requests/[id].patch.ts b/server/api/client/schedule-requests/[id].patch.ts
new file mode 100644
index 0000000..b12164e
--- /dev/null
+++ b/server/api/client/schedule-requests/[id].patch.ts
@@ -0,0 +1,127 @@
+import { createError, defineEventHandler, getRouterParam, readBody } from 'h3'
+import { prisma } from '../../../utils/prisma'
+import { requireClientUser } from '../../../utils/guard'
+
+function validateSlot(start: Date, end: Date) {
+  const now = new Date()
+  if (Number.isNaN(start.getTime()) || Number.isNaN(end.getTime())) {
+    return 'Invalid date or time.'
+  }
+  if (end <= start) {
+    return 'End time must be after start time.'
+  }
+  if (start < now) {
+    return 'Cannot request time slots in the past.'
+  }
+  return null
+}
+
+export default defineEventHandler(async (event) => {
+  const user = requireClientUser(event)
+  const id = getRouterParam(event, 'id')
+  if (!id) {
+    throw createError({ statusCode: 400, statusMessage: 'Missing id' })
+  }
+
+  const existing = await prisma.appointmentScheduleRequest.findFirst({
+    where: { id, clientId: user.id },
+  })
+  if (!existing) {
+    throw createError({ statusCode: 404, statusMessage: 'Request not found' })
+  }
+  if (existing.status !== 'PENDING') {
+    throw createError({
+      statusCode: 409,
+      statusMessage: 'Only pending requests can be edited',
+    })
+  }
+
+  const body = await readBody(event)
+  const { date, startTime, endTime, message } = body as {
+    date?: string
+    startTime?: string
+    endTime?: string
+    message?: string | null
+  }
+
+  const hasTimeFields = date !== undefined || startTime !== undefined || endTime !== undefined
+  if (hasTimeFields) {
+    if (!date || !startTime || !endTime) {
+      throw createError({
+        statusCode: 400,
+        statusMessage: 'To change the time, provide date, startTime, and endTime together',
+      })
+    }
+    const start = new Date(`${date}T${startTime}`)
+    const end = new Date(`${date}T${endTime}`)
+    const slotErr = validateSlot(start, end)
+    if (slotErr) {
+      throw createError({ statusCode: 400, statusMessage: slotErr })
+    }
+
+    const msgUpdate =
+      message !== undefined
+        ? typeof message === 'string' && message.trim().length > 0
+          ? message.trim().slice(0, 2000)
+          : null
+        : undefined
+
+    const updated = await prisma.appointmentScheduleRequest.update({
+      where: { id },
+      data: {
+        requestedStartTime: start,
+        requestedEndTime: end,
+        ...(msgUpdate !== undefined ? { message: msgUpdate } : {}),
+      },
+      select: {
+        id: true,
+        requestedStartTime: true,
+        requestedEndTime: true,
+        message: true,
+        status: true,
+        updatedAt: true,
+      },
+    })
+
+    return {
+      id: updated.id,
+      requestedStartTime: updated.requestedStartTime.toISOString(),
+      requestedEndTime: updated.requestedEndTime.toISOString(),
+      message: updated.message,
+      status: updated.status,
+      updatedAt: updated.updatedAt.toISOString(),
+    }
+  }
+
+  if (message === undefined) {
+    throw createError({
+      statusCode: 400,
+      statusMessage: 'No changes provided',
+    })
+  }
+
+  const msg =
+    typeof message === 'string' && message.trim().length > 0 ? message.trim().slice(0, 2000) : null
+
+  const updated = await prisma.appointmentScheduleRequest.update({
+    where: { id },
+    data: { message: msg },
+    select: {
+      id: true,
+      requestedStartTime: true,
+      requestedEndTime: true,
+      message: true,
+      status: true,
+      updatedAt: true,
+    },
+  })
+
+  return {
+    id: updated.id,
+    requestedStartTime: updated.requestedStartTime.toISOString(),
+    requestedEndTime: updated.requestedEndTime.toISOString(),
+    message: updated.message,
+    status: updated.status,
+    updatedAt: updated.updatedAt.toISOString(),
+  }
+})
diff --git a/server/utils/create-staff-appointment.ts b/server/utils/create-staff-appointment.ts
new file mode 100644
index 0000000..f4787d6
--- /dev/null
+++ b/server/utils/create-staff-appointment.ts
@@ -0,0 +1,111 @@
+import type { PrismaClient } from '../../prisma/generated/client'
+import type { VideoConferenceProvider } from '../../prisma/generated/enums'
+
+type AppointmentDb = Pick<PrismaClient, 'user' | 'appointment' | 'client' | 'sessionNote'>
+
+function sanitizeNamePart(part: string | null | undefined) {
+  const normalized = (part ?? '').trim().replace(/\s+/g, '_')
+  return normalized.replace(/[^A-Za-z0-9_]/g, '')
+}
+
+function deriveSessionName(fullName: string | null | undefined, sessionNumber: number) {
+  const raw = (fullName ?? '').trim()
+  const pieces = raw.split(/\s+/).filter(Boolean)
+
+  const first = sanitizeNamePart(pieces[0] ?? 'Client') || 'Client'
+  const last = sanitizeNamePart(pieces.slice(1).join('_') || 'Unknown') || 'Unknown'
+
+  return `${first}_${last}_${String(sessionNumber).padStart(2, '0')}`
+}
+
+function nextAvailableNumber(used: number[]) {
+  const usedSet = new Set(used.filter((n) => Number.isInteger(n) && n > 0))
+  let candidate = 1
+  while (usedSet.has(candidate)) candidate += 1
+  return candidate
+}
+
+export type CreateStaffAppointmentInput = {
+  staffUserId: string
+  clientUserId: string
+  startTime: Date
+  endTime: Date
+  description?: string | null
+  videoProvider?: VideoConferenceProvider | null
+  videoJoinUrl?: string | null
+}
+
+/**
+ * Creates a scheduled appointment and placeholder session note (same rules as POST /api/appointments).
+ * Caller must enforce auth, client access, and time validation.
+ */
+export async function createStaffAppointment(
+  db: AppointmentDb,
+  input: CreateStaffAppointmentInput
+) {
+  const { staffUserId, clientUserId, startTime, endTime, description } = input
+  const videoProvider = input.videoProvider ?? null
+  const videoJoinUrl = input.videoJoinUrl ?? null
+
+  const [clientUser, existingAppointments] = await Promise.all([
+    db.user.findUnique({
+      where: { id: clientUserId },
+      select: { name: true, role: true },
+    }),
+    db.appointment.findMany({
+      where: { clientId: clientUserId },
+      select: { sessionNumber: true, status: true },
+    }),
+  ])
+
+  if (!clientUser || clientUser.role !== 'CLIENT') {
+    throw new Error('INVALID_CLIENT')
+  }
+
+  const activeSessionNumbers = existingAppointments
+    .filter((a) => {
+      const normalized = String(a.status ?? '').toUpperCase()
+      return normalized !== 'CANCELED' && normalized !== 'CANCELLED'
+    })
+    .map((a) => a.sessionNumber)
+
+  const sessionNumber = nextAvailableNumber(activeSessionNumbers)
+  const sessionName = deriveSessionName(clientUser.name, sessionNumber)
+
+  const appointment = await db.appointment.create({
+    data: {
+      clientId: clientUserId,
+      adminId: staffUserId,
+      title: sessionName,
+      sessionName,
+      sessionNumber,
+      description: description ?? null,
+      startTime,
+      endTime,
+      status: 'SCHEDULED',
+      recurrence: '',
+      videoProvider,
+      videoJoinUrl,
+    },
+  })
+
+  const clientRow = await db.client.findUnique({
+    where: { userId: clientUserId },
+    select: { id: true },
+  })
+
+  if (clientRow) {
+    await db.sessionNote.create({
+      data: {
+        clientId: clientRow.id,
+        appointmentId: appointment.id,
+        sessionName,
+        sessionNumber,
+        content: '',
+        attendanceStatus: 'show',
+      },
+    })
+  }
+
+  return appointment
+}
diff --git a/server/utils/guard.ts b/server/utils/guard.ts
index 344e18a..12a9555 100644
--- a/server/utils/guard.ts
+++ b/server/utils/guard.ts
@@ -27,3 +27,15 @@ export function requireStaff(event: H3Event) {
   }
   return user
 }
+
+/** Authenticated portal user who is not staff (typical client account). */
+export function requireClientUser(event: H3Event) {
+  const user = requireUser(event)
+  if (event.context.isStaff) {
+    throw createError({ statusCode: 403, statusMessage: 'Forbidden' })
+  }
+  if (user.role !== 'CLIENT') {
+    throw createError({ statusCode: 403, statusMessage: 'Forbidden' })
+  }
+  return user
+}