Mental Health Evaluation. The Defendant shall obtain a mental health evaluation from a state-certified 26 agency, within 90 days of entering this Agreement file proof thereof with the Court Clerk, successfully 27 comply with all treatment recommendations, and provide proof of such compliance to the Court Clerk 28 Choose an item.
Mental Health Evaluation. A separate contract for mental health evaluation must be signed INSTEAD OF the Therapist – Client Psychological Services Contract. END of DOCTOR – PATIENT PSYCHOLOGICAL SERVICES CONTRACT Initial the appropriate box and sign the attached Master Signature Page to indicate your acceptance of all of the terms of this Therapist – Client Psychological Services Contract. CONTACT INFORMATION Location: 000 Xxxx Xxxxxx Xxx, Wake Forest, North Carolina 27587 Office phone (000) 000 0000 Office fax (000) 000 0000 E-mail xxxxxxxxxxx@xxxxxxxxx.xxx Website xxxxxxxxxxxxxxxx.xxx *For urgent calls only: Mobile phone (000) 000 0000 Emergency calls: When someone’s safety or health is at stake call 911 or go to an emergency room. For psychiatric emergencies do likewise or call your psychiatrist or physician, or Xxxxx Xxxx Hospital (250-2700). 24 hour coverage crisis intervention with Xxxxxxx Xxxxxxxx- Xxxxxxxxx of NIO Psychological Services at (000) 000-0000. E-mail should only be used for non-urgent matters. Practice Manager: Xxxxx XxXxxx 000 000 0000 can help you with scheduling, insurance claims, and other administrative services. Office Sharing: Xxxxxxxx Xxxxx-Xxxxxxxxx, Xx.S. shares an office suite with Xxxxxxx Xxxxxxxx- Xxxxxxxxx, Xxx Xxxxxxxx, Xxxxx XxxXxxxxxx-Xxxxxxx, and Xxxx Xxxxxxxx. Their professional practices are separate; protected health information will be shared between these doctors only with the patient’s written consent.
Mental Health Evaluation. The Defendant shall obtain a mental health evaluation from a state-certified 26 agency, within 90 days of entering this Agreement file proof thereof with the Court Clerk, successfully 27 comply with all treatment recommendations, and provide proof of such compliance to the Court Clerk 28 within a reasonable period of time. 29 Xxxx X. Xxxxxxxx, Prosecuting Attorney Kitsap County District and Municipal Courts Division 000 Xxxxxxxx Xxxxxx, XX-00 Xxxx Xxxxxxx, XX 00000-0000 (000) 000-0000; Fax (000) 000-0000 xxx.xxxxxxxxx.xxx/xxxx Revised 03/21/18 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Mental Health Evaluation. The Defendant shall obtain a mental health evaluation from a state-certified agency; thereafter successfully comply with all treatment recommendations and provide proof as directed by the THRIVE Probation Officer.
