Client Rights and Responsibilities. Active Solutions Counseling, LLC supports the philosophy of client-centered care with the responsibility for the treatment being shared by the clients. Therefore, we subscribe to the following:
Client Rights and Responsibilities. As a client of the Community Counseling Center at St. Luke’s, you have certain rights and responsibilities.
Client Rights and Responsibilities. You have a right to refuse treatment at any point during our work together. It is your responsibility to choose the provider and type of treatment that best suits your needs. You have the right to ask questions concerning the findings of an evaluation, and the right to raise questions about my therapeutic approach and the progress that is being made at any time. If you feel that progress is not being made, please bring it to my attention. I will make every effort to respond to your concerns. I am always happy to facilitate a referral to other resources if you wish. HIPAA provides you with several new or expanded rights with regard to your Clinical Records and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Records is disclosed to others; requesting an accounting of most disclosures of protected health information that you have neither consented to nor authorized; determining the location to which protected information disclosures are sent; having any complaints you make about my policies and procedures recorded in your records; and the right to a paper copy of this Agreement, the attached Notice form, and my privacy policies and procedures. I am happy to discuss any of these rights with you. YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE READ THIS AGREEMENT AND AGREE TO ITS TERMS AND ALSO SERVES AS AN ACKNOWLEDGEMENT THAT YOU HAVE RECEIVED THE HIPAA NOTICE FORM DESCRIBED ABOVE.
Client Rights and Responsibilities. I agree to keep my scheduled appointment times (phone or in person) and to inform my therapist at least 24 hours in advance if I need to cancel. I will be free of the influence of drugs and alcohol during sessions or calls. I will complete assignments as agreed on with my therapist; and submit my own work. I will protect the privacy of my login information. I will protect the privacy of other clients involved in this program. Distance treatment is focused on establishing and reaching the goals I want from treatment. I understand that my continuation and discharge from the program will be individualized and discussed with my therapist I understand that I am responsible for safeguarding my sent and received email, text, phone or video. communications from access by others in my home or work environment; or from shared or public computers if applicable. I understand that a separate password protected account is preferable. Through my email carrier, I may request “return receipt” to acknowledge that the message has been received. I understand that Email from my work accounts is NOT CONFIDENTIAL and should not be used for any sensitive personal or treatment information. I understand that Email is not to be used for any emergency or urgent communications. I agree to follow established emergency contact procedures. I understand that my digital communications with my therapist will be kept as part of my treatment record. My therapist and I may establish guidelines as necessary regarding the volume and frequency of digital communication which support effective treatment. I may revoke my consent for email or other digital communication at any time by informing my therapist. My therapist may opt to discontinue email or other digital communication if it is inappropriate or unsafe to continue it. I understand that Heartland Family Service has established, and adheres to, confidentiality practices for all client information including communications by phone, email, text, and distance treatment; as well as safeguards on the privacy of emails received by employees. I understand that Heartland Family Service assesses the security of video or other distance treatment sites that it utilizes, but does not directly manage these sites; and that it is unlikely but possible that security could be breached. I understand that my phone number, email address and any other private information will not be directly or intentionally disclosed by Heartlan...
Client Rights and Responsibilities. I affirm that I have have read and understood the Notice of Privacy Practices and Client Rights form (See Notice of privacy Practices and Client Rights form under “helpful forms” section).
Client Rights and Responsibilities. Paragraph 50. Contractor agrees to provide notification of the agency’s Clients Rights and Responsibilities to all clients rendered services in accordance with this Contract. Client files shall include an affirmation signed by the client indicating receipt of information required in this paragraph.
Client Rights and Responsibilities. Whilst accessing services outlined in this Agreement as a client of (Service Name), I (Client’s Name) Have the right to nominate, in writing, an advocate or guardian, who will act in my interests and accept the responsibilities imposed under this agreement Have the right to be treated with dignity and respect and to have my choices and aspirations supported as far as is reasonably possible Have the right to determine the type and range of activities that I wish to participate in Have the right to request services in accordance with my support plan, provided the request is also in accordance with all applicable legislation Have the right to participate in the development of my support plan acknowledging that the cost of supports arising from that plan must be able to be met within the funding available for this support (unless I have other income sources). Any support plan will be reviewed annually or can be reviewed upon request by me or (Name of Service) at any time. Have the right to privacy and confidentiality and in keeping with the Health Records Act2001, to request access to any health information kept by (Name of Service Provider). As a client or family member I (Client’s Name) will: Treat staff and other clients with courtesy and consideration at all times Respect the needs and opinions of all clients and staff Keep the Service informed of any changes in my personal life such as where I live and any changes in medication. Work cooperatively with (Name of Service Provider) regarding issues arising during the development and delivery of support and activities covered by this agreement Pay all fees owing by the due date Adhere to the budgetary requirements of my service plan. Provide the Service with 2 months advance notice of intention to leave the service. Participate in the development and regular review of my support plan Responsibilities of (Name of Service Provider) In agreeing to provide this support arrangement (Name of Service Provider): Will respect the rights of the client to determine the range and types of activities they wish to participate in Will work cooperatively and in line with the principle of least restrictive alternative with the client and the activities they have chosen to undertake Will prepare a support plan with the client that outlines the activities they will undertake and the support to be provided by (Name of Service Provider). A copy of the support plan will be provided to the client (...
Client Rights and Responsibilities. I affirm that I have read and signed the Patient Rights and Responsibilities document and am aware that I may request a copy at any time, or view it at www.stonecreek xxxxxxxxxx.xxx. • I affirm that I have been offered a copy of Stone Creek Psychiatry’s Notice of Privacy Practices and am aware that I may request a copy at any time or view it a xxx.xxxxxxxxxxxxxxxxxxxx.xxx.
Client Rights and Responsibilities. A. The Client has the right to:
Client Rights and Responsibilities. You have a right to terminate our therapeutic relationship at any time. You have the right to informed consent. You may ask me about my training or experience at any time. Sexual intimacy between client and therapist is prohibited. You will be draped at all times during the session. All cell phones should be turned off prior to entering the session room. As client, I agree to the conditions of my therapeutic alliance with Daybreak Therapeutic Massage, LLP, as outlined above.
