Records and Confidentiality. Your mental health record is accessible to you upon request. In some instances, one parent or one individual in couple's counseling may request a copy of the family/couple's records. A fee of $45.00 will be charged for the first 25 pages of the record and additional pages will be at a rate of $1.00 per page. When one member of the couple or one of the parents or guardians request a copy of the record, the other parent/individual in couple's counseling will also be offered a copy of the record at the same cost of $45.00 for the first 25 pages and $1.00 for each additional page. This does not include postage and handling. You will be given a receipt upon request after each session or payment for your records. When a request is made directly from a government agency or official for a record, there is NO charge. Initials /
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Samples: www.foreverhopecounseling.com, www.foreverhopecounseling.com
Records and Confidentiality. Your mental health record is accessible to you upon request. In some instances, one parent or one individual in couple's counseling may request a copy of the family/couple's records. A fee of $45.00 will be charged for the first 25 pages of the record and additional pages will be at a rate of $1.00 per page. When one member of the couple or one of the parents or guardians request requests a copy of the record, the other parent/individual in couple's counseling will also be offered a copy of the record at the same an additional cost of $45.00 for the first 25 pages and $1.00 for each additional page. This does not include postage and handling. You will be given a receipt upon request after each session or payment for your records. When a request is made directly from a government agency or official for a recordofficial, there is NO charge. Initials /
Appears in 2 contracts
Samples: www.foreverhopecounseling.com, www.foreverhopecounseling.com
Records and Confidentiality. Your mental health record is accessible to you upon request. In some instances, one parent or one individual in couple's counseling couple'scounseling may request a copy of the familythefamily/couple's records. A fee of $45.00 will be charged for the first 25 pages of the record and additional pages will be at a rate of $1.00 per page. When one member of the couple or one of the parents or guardians request requests a copy of the record, the other parent/individual in couple's counseling will couple'scounselingwill also be offered a copy of the record at the same an additional cost of $45.00 for the first 25 pages and $1.00 for each additional page. This does not include postage and handling. You will be given a receipt upon request after each session or payment for your records. When a request is made directly from a government agency or official for a recordofficial, there is NO charge. Initials /Initials_____/_____
Appears in 1 contract
Samples: www.foreverhopecounseling.com