right to refuse treatment. You have a right to refuse to enter or continue treatment at any time. If there is any reason you are unhappy with my services please feel free to discuss it with me. I will be happy to refer you to another therapist.
right to refuse treatment. If the inmate wishes to refuse treatment, the inmate must be brought to the medical care area where the inmate will be counseled by medical staff and a Release of Responsibility Form will be executed. • A mentally competent adult may refuse medical treatment at any time after counseling by a healthcare provider. • The inmate must sign the Release of Responsibility Form acknowledging that the treatment has been fully explained and that he refused treatment. This Release of Responsibility Form will be witnessed by the healthcare provider who counseled the inmate. • If the inmate refuses to sign the Release of Responsibility Form, this will be documented by the healthcare provider and witnessed by a staff member. • In cases of contagious diseases or other communicable diseases, the inmate cannot refuse treatment; and, the healthcare personnel will treat the inmate for the welfare of the inmate, the institution, and the community at large.
right to refuse treatment. You have the right under law to refuse medical treatment and to be informed of the consequences of refusing the treatment. Pursuant to a properly executed health care power of attorney, your health care power of attorney has the right under law to refuse medical treatment and to be informed of the consequences of refusing the treatment. In addition, you have the right to formulate an advance directive for health care (living will/health care power of attorney). Patient has / does not have (check one) an advance directive for health care (living will/health care power of attorney) (provide copy). (Patient/Resident Representative initials) Patient has / does not have (check one) a completed Physician Order for Life- Sustaining Treatment (POLST) (provide copy). (Patient/Resident Representative initials) Patient has / does not have (check one) an attorney-in-fact to act on the Patient’s behalf in the event that Patient becomes unable to manage his or her affairs. Patient’s Power of Attorney has been granted to (copy attached).
right to refuse treatment. You have a right to refuse to enter or continue treatment at any time. If there is any reason you are unhappy with my services please feel free to discuss it with me. I will be happy to refer you to another therapist. CLIENTS HAVE A RIGHT TO CHOOSE WHO PROVIDES THEM TREATMENT AND THE TYPE OF TREATMENT PROVIDED. After our first session I will tell you whether I can help you with the problem you have come to my office to discuss. If I do not believe that counseling with me would benefit you the most, I will suggest another therapist or type of treatment that perhaps could serve you better. WORK WITH MINORS. In my work with minor clients I strive to provide them with the same standards of confidentiality and privacy that I offer my adult clients. Hence I ask the parents of the children and adolescents I work with to respect the boundaries of the therapeutic relationship. In the course of normal events, therapy with children and adolescents is best accomplished when therapy takes place in a contained space. I will regularly take the time for parent feedback. NB In the event of possible harm I will communicate this with parents to and the necessary steps, which need to taken to ensure the safety of the teen client. THERAPLAY. Touch is a normal, healthy part of all parent-child interaction. During Theraplay sessions various kinds of touch will be used during treatment. Theraplay touch is organizing and Parent/guardian Initial modulating in the structuring activities. At all times our goal is to maintain the safety and meet the developmental needs of the child. Theraplay is not a “holding therapy”. The child may be held by the therapist in the following circumstance: • Containment is a response to a highly dysregulated child, not a planned event and it only lasts until the child is calmer. For more information got to xxxx://xxx.xxxxxxxxx.xxx/index.php/touch-statement VIDEO RECORDING. All Theraplay sessions will be recorded. This services as a learning resource for the therapist and family. Parent/guardian Initial CONFIDENTIALITY. Under Oregon State Law, I have an obligation to honor client confidentiality. I cannot repeat anything you tell me to anyone else. However, there are exceptions: • I will only release your counseling information to an outside agency or person if you have signed a release of authorization. • In some cases I may be required to release information subpoenaed by a court. • I will release counseling information to family members, and others w...
