Common use of BENEFITS AND RISKS Clause in Contracts

BENEFITS AND RISKS. Psychotherapy often involves intense emotional experiences, and your participation may bring up strong anxiety or emotional distress. It may also expose or create tension in your relationship with the client. Although your participation can result in better understanding of the client or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified client’s chart. The client has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified client. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the client. CONFIDENTIALITY The confidentiality of information in the client’s chart, including the information that you provide me, is protected by both federal and state law. It can only be released if the identified client specifically authorizes me to do so. There are some exceptions to this general rule:  If I suspect you are abusing or neglecting a child or a vulnerable adult, I am required to file a report with the appropriate agency.  If I believe that you are a danger to yourself (suicidal) I will take actions to protect your life even if I must reveal your identity to do so.  If you threaten serious bodily harm to another I will take necessary actions to protect that person even if I must reveal your identity to do so.  If you, or the client, is involved in a lawsuit, and a court requires that I submit information or testify, I must comply.  If insurance is used to pay for the treatment, the client’s insurance company may require me to submit information about the treatment for claims processing purposes or for utilization review. You are expected to maintain the confidentiality of the identified client (your spouse, friend, or child) in your role as a collateral.

Appears in 1 contract

Samples: www.drnathanmiles.com

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BENEFITS AND RISKS. Psychotherapy often involves engenders intense emotional experiences, and your participation may bring up engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the client. Although While your participation can result in better understanding of the client or an improved relationship, relationship or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified client’s chart. The client has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified client. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the client. CONFIDENTIALITY The confidentiality of information in the client’s chart, including the information that you provide me, is protected by both federal and state law. It can only be released if the identified client specifically authorizes me to do so. There are some exceptions to this general rule: If I suspect you are abusing or neglecting a child or a vulnerable adult, I am required to file a report with the appropriate agency. If I believe that you are a danger to yourself (suicidal) I will take actions to protect your life even if I must reveal your identity to do so. If you threaten serious bodily harm to another another, I will take necessary actions to protect that person even if I must reveal your identity to do so. If you, or the client, is involved in a lawsuit, and a court requires that I submit information or testify, I must comply. If insurance is used to pay for the treatment, the client’s insurance company may require me to submit information about the treatment for claims processing purposes or for utilization review. You are expected to maintain the confidentiality of the identified client (your spouse, friend, or child) in your role as a collateral.

Appears in 1 contract

Samples: Outpatient Services Agreement

BENEFITS AND RISKS. Psychotherapy often involves engenders intense emotional experiences, and your participation may bring up engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the clientpatient. Although While your participation can result in better understanding of the client patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified clientpatient’s chart. The client patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we you should discuss it this with the therapist before any information is communicated. You have no right to access that the chart without the written consent of the identified clientpatient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral collateral, you are not responsible for paying for my the therapist’s fees for professional services unless you are financially responsible for the clientpatient. CONFIDENTIALITY You are expected to maintain the confidentiality of the identified patient (your spouse, friend, or child) in your role as a collateral. The confidentiality of information in the clientpatient’s chart, including the information that you provide meto the therapist, is protected by both federal and state law. It can only be released if the identified client patient specifically authorizes me the therapist to do so. There are some exceptions to this general rule: If I suspect the therapist suspects you are abusing or neglecting a child or a vulnerable adult, I am he or she is required to file a report with the appropriate agency. If I believe the therapist believes that you are a danger to yourself (suicidal) I she or he will take actions to protect your life even if I your identity is revealed in or to do so. □ If you threaten serious bodily harm to another, the therapist will take necessary actions to protect that person, even if the therapist must reveal your identity to do so.  If □ To reduce the risk of harm from firearms, the therapist is required by law to call the police where you threaten serious bodily live, if the therapist believes there is an imminent risk of harm to another I will take necessary actions to protect that person even if I must reveal your identity to do soyou or another. If you, or the clientpatient, is involved in a lawsuit, and a court requires that I the therapist submit information or testify, I he or she must comply. If insurance is used to pay for the treatment, the client’s insurance company may require me to submit the submission of information about the treatment for claims processing purposes or for utilization review. You are expected to maintain the confidentiality of the identified client (your spouse, friend, or child) in your role as a collateral.

Appears in 1 contract

Samples: goodlifecenternj.com

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BENEFITS AND RISKS. Psychotherapy often involves engenders intense emotional experiences, and your participation may bring up en- gender strong anxiety or emotional distress. It may also expose or create tension in your relationship rela- tionship with the client. Although While your participation can result in better understanding of the client or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified client’s chart. The client has a right to access the chart and the material ma- terial contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified client. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the client. CONFIDENTIALITY The confidentiality of information in the client’s chart, including the information that you provide me, is protected by both federal and state law. It can only be released if the identified client specifically authorizes me to do so. There are some exceptions to this general rule: If I suspect you are abusing or neglecting a child child, elder or a vulnerable adultdisabled person, I am required re- quired to file a report with the appropriate agency. If I believe that you are a danger to yourself (suicidal) I will take actions to protect your life even if I must reveal your identity to do so. If you threaten serious bodily harm to another I will take necessary actions to protect that person even if I must reveal your identity to do so. If you, or the client, is involved in a lawsuit, and a court requires that I submit information infor- mation or testify, I must comply.  comply ➢ If insurance is used to pay for the treatment, the client’s clients insurance company may require re- quire me to submit information about the treatment for claims processing purposes or for utilization review. You are expected to maintain the confidentiality of the identified client (your spouse, friend, or child) in your role as a collateral.

Appears in 1 contract

Samples: empoweredbehavioralhealth.com

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