Common use of Psychotherapist-Patient Privilege Clause in Contracts

Psychotherapist-Patient Privilege. The information disclosed by Patient and any re- cords created are subject to the psychotherapist-patient privilege under the law, akin to the attorney-client or doctor-patient privilege. Typically, the patient is the holder of the psychotherapist-patient privilege. If Therapist is subpoenaed for records or deposition or court testimony, Therapist will assert the privilege on Patient’s behalf until instructed in writing to do otherwise by Patient or Patient’s representative. Pa- tient should be aware that he/she may be waiving psychotherapist-patient privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Pa- tient should address any concerns regarding the psychotherapist-patient privilege with his/her attorney. Fee and Fee Arrangements: The agreed-upon fee between Therapist and Patient is $ per 50-minute session. Longer sessions may be charged pro rata. Therapist reserves the right to periodically adjust this fee and will notify Patient in advance of a fee adjustment. The fee may also be adjusted by contract with insurance or man- aged care organizations or by agreement with Therapist. Patient is to pay for ser- vices at time rendered, by cash, check, credit or debit card. Occasionally Therapist may speak by phone with Patient for purposes other than session scheduling. Patient will pay the agreed-upon fee (on a pro-rata basis) for calls longer than 10 minutes.

Psychotherapist-Patient Privilege. The information disclosed by Patient and any re- cords created are subject to the psychotherapist-patient privilege under the law, akin to the attorney-client or doctor-patient privilege. Typically, the patient is the holder of the psychotherapist-patient privilege. If Therapist is subpoenaed for records or deposition or court testimony, Therapist will assert the privilege on Patient’s behalf until instructed in writing to do otherwise by Patient or Patient’s representative. Pa- tient should be aware that he/she may be waiving psychotherapist-patient privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Pa- tient should address any concerns regarding the psychotherapist-patient privilege with his/her attorney. Fee and Fee Arrangements: The agreed-upon fee between Therapist and Patient is $ per 50-minute session. Longer sessions may be charged pro rata. Therapist reserves the right to periodically adjust this fee and will notify Patient in advance of a fee adjustment. The fee may also be adjusted by contract with insurance or man- aged care organizations or by agreement with Therapist. Patient is to pay for ser- vices services at time rendered, by cash, check, credit or debit card. Occasionally Therapist may speak by phone with Patient for purposes other than session scheduling. Patient will pay the agreed-upon fee (on a pro-rata basis) for calls longer than 10 three minutes. In addition, Patient will pay the agreed-upon fee (on a pro-rata basis) in three-minute increments for collateral services including but not limited to time spent reviewing documents, receiving and responding to correspondence (such as emails), and time talking with other professionals involved in your case.

Psychotherapist-Patient Privilege. The information disclosed by Patient and any re- cords records created are subject to the psychotherapist-patient privilege under the law, akin to the attorney-client or doctor-patient privilege. Typically, Typically the patient is the holder of the psychotherapist-patient privilege. If Therapist is subpoenaed for records or deposition or court testimony, Therapist will assert the privilege on Patient’s behalf until instructed in writing to do otherwise by Patient or Patient’s representative. Pa- tient Patient should be aware that he/she may be waiving psychotherapist-patient privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Pa- tient Patient should address any concerns regarding the psychotherapist-patient privilege with his/her attorney. Fee and Fee Arrangements: Arrangements The agreed-upon fee between Therapist and Patient is $ per 50-minute session. Longer sessions may be charged pro rata. Therapist reserves the right to periodically adjust this fee and will notify Patient in advance of a fee adjustment. The fee may also be adjusted by contract with insurance or man- aged managed care organizations or by agreement with Therapist. Patient is to pay for ser- vices services at time rendered, by cash, cash or check, credit or debit card. Occasionally Therapist may speak by phone with Patient for purposes other than session scheduling. Patient will pay the agreed-upon fee (on a pro-rata basis) for calls longer than 10 minutes.