Common use of TELEPHONE & EMERGENCY PROCEDURES Clause in Contracts

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx between sessions, please leave a message on her confidential voicemail and your call will be returned as soon as possible. Every effort will be made to return your call the same day, with the exception of weekends and holidays. If you are difficult to reach, please leave times that you are likely available to be reached and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911. Please do not use e-mail, texts, or faxes for emergencies. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. Xx. Xxxxx provides neither custody evaluation recommendation nor medication or prescription recommendation nor legal advice, as these activities do not fall within her scope of practice.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx me for an urgent matter between sessions, please leave a message on her confidential voicemail call 000.000.0000 and your call will be returned as soon as possible. Every effort I cannot promise that I will be made to return your call the same day, with the exception of weekends and holidaysavailable at all times. If you are difficult a life- threatening emergency arises between sessions, call 911 or go to reachthe nearest emergency room. Calls of a non-urgent nature will be returned within 24 hours. Non-urgent telephone calls left during the weekend will be returned on the next business day. I pick up my messages a few times a day. If an urgent situation arises, please leave times indicate it clearly in your message. If there is an emergency during our work together, or in the future after termination where I become concerned about your personal safety, the possibility of you injuring someone else, or about you receiving proper psychiatric care, he/she will do whatever he/she can within the limits of the law, to prevent you from injuring yourself or others and to ensure that you are likely available to be reached and receive the phone number to useproper medical care. If For this purpose, I may also contact the person whose name you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician or have provided on the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911. Please do not use e-mail, texts, or faxes for emergenciesClient Information Form. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICEEVALUATION: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, ; requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, feelings and/or behavior. Xx. Xxxxx I will ask for your feedback and views on your therapy, its progress, progress and other aspects of the therapy and will expect you to respond openly open and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., . or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx I may challenge some of your assumptions or perceptions or propose different ways way of looking at, thinking about, or handling situations, situations which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, relationships may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, housing or relationships. Sometimes a decision that is positive for one family member is may be viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will can be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx is I will likely to draw on various psychological approaches according, in part, according to the problem that is being treated and his/her my assessment of what will best benefit you. Xx. Xxxxx provides neither custody evaluation recommendation nor medication or prescription recommendation nor legal adviceThese approaches may include behavioral, as these activities do not fall within her scope of practicecognitive-behavioral, psychodynamic, existential, system/family, developmental (adult, child, family), and psycho-educational.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx your therapist between sessions, please leave a message on her confidential voicemail at the office (000)000-0000 and your call will be returned as soon as possible. Every effort will be made to return your call Your therapist checks his/her messages a few times during the same daydaytime, with the exception unless s/he is out of weekends and holidaystown. If an emergency situation arises, indicate it clearly in your message and if you are difficult need to reachtalk to someone right away during business hours (M-F 8 am – 4 pm), please leave times that you are likely available to be reached stop by our office, and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should after hours call your family physician 24-hour crisis line in Fairmont: (000)000-0000 or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call Police: 911. Please do not use e-mail, texts, email or faxes for emergencies. Your therapist does not always check his/her email or faxes daily. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxxx Your therapist will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx Your therapist may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx your therapist is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. XxThese approaches include, but are not limited to, behavioral, cognitive-behavioral, cognitive, psychodynamic, existential, system/family, developmental (adult, child, family), humanistic or psycho-educational. Xxxxx Your therapist provides neither custody evaluation recommendation nor medication or prescription recommendation nor legal advice, as these activities do not fall within his/her scope of practice.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx me between sessions, please leave a brief text message on her at (000) 000-0000 with no confidential voicemail and your call information. I will be returned contact you as soon as possible. Every effort will be made to return your call the same day, with the exception of weekends and holidaysI check my messages during daytime hours. If you are difficult need to reachmake a same day appointment indicate this clearly in your text. However, please leave times that you are likely available to be reached and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergencyimmediate assistance, call 911Psychiatric Emergency Services’, 24-hour crisis line at (415) 000- 0000; or call the Emergency Response Team at 9-1-1. Please do not use eDigital Communication and Cell Phones: My Telehealth services take place via a secure website. Documents can be securely transmitted through this site. Be aware that other digital and cell phone communication can be accessed by unauthorized people and can compromise your privacy and confidentiality. Communication via unsecure devices should be brief and limited to non-mailconfidential information. Agreement for Treatment: Xxxx Xxxx XxXxxx-Xxxxx, textsMA, or faxes for emergencies. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICEPHN, LMFT #35490:NPI: 0000000000 (cont.) Patient(s)Name(s): Date: / / The Process of Therapy: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honestyhonesty and openness, and openness in order to change achieve your thoughts, feelings, and/or behaviorgoals. Xx. Xxxxx I will ask for your feedback and views on your therapy, its progress, progress and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situationtherapy. During evaluation or therapy, remembering or talking about unpleasant events, feelings, feelings or thoughts can result in you experiencing considerable discomfort or strong feelings of such as anger, sadness, worry, fear, etc., or experiencing anxiety, depression, and insomnia, etcamong others. Xx. Xxxxx I may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, about or handling situations, which can cause you to feel very upset, angry, depressed, challenged, . This may result in uncomfortable feelings or disappointedthoughts. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes or decisions that were not originally intended. Psychotherapy may result in decisions about changing behaviors, anticipated such as employment, substance use, schooling, housing, housing or relationships. Sometimes a decision that is positive for one Sometimes, another family member is viewed quite may view decisions negatively by another family memberthat you may see as positive. Change will sometimes be easy and swift, but more often it will be slow and the therapeutic pace is unpredictable, even frustratingslower than anticipated. There is no guarantee that psychotherapy will yield positive or intended results. Scope of Practice: During the course of therapytherapy and therapeutic consultations, Xx. Xxxxx is likely to I will draw on various psychological approaches according, in part, to the problem that is being treated and his/her my assessment of what will best benefit you. XxThese approaches include, but are not limited to behavioral, cognitive-behavioral, psychodynamic, system/family, mindfulness, psycho-educational, somatic-experiential or holistic approaches. Xxxxx provides neither Our bodies are a great resource to us. When we listen to sensations and emotions that are experienced in the body, we can derive valuable information that may not otherwise be consciously available to us. This type of psychotherapy recognizes the relationship and interconnectedness between what goes on in our minds with what goes on in our bodies, posture, movements, gestures and energy fields. As I am also a licensed registered nurse my patients may, from time to time, wish to benefit from my knowledge of wellness practices, which enhance their mental/emotional/physical state. I do not provide custody evaluation recommendation nor evaluations, medication prescriptions, or prescription recommendation nor legal advice, as these activities do not fall within her my scope of practice. Dual Relationships: Dual relationships are those in which the therapist may interact with the patient in a setting outside the therapeutic relationship. In general dual relationships can be confusing to the patient- therapist relationship. Therapy never involves a romantic, sexual or any other dual relationship, which could be exploitive in nature or impair the therapist’s objectivity, clinical judgment or the therapeutic effectiveness. At the same time, Marin County is a small county and you may know a patient in the waiting room or happen to see me when I am out in the community. Because I will never acknowledge my therapeutic relationships without a patient’s written permission, if I were to see you in public I would not acknowledge that we know one another. It will be your choice if you wish to do so.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx Xxxxxxx Xxxxxx between sessions, please leave a message on her confidential voicemail and at 000-000-0000. Please understand that your call will be returned as soon as possible. Every effort will , but that she may not be made available to return the call within 24 hours if she is out of town. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away call the same day, with the exception of weekends and holidays. If you are difficult to reach, please leave times that you are likely available to be reached and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician Magellan Crisis Line at 000-000-0000 or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911. Please do not use e-mail, texts, email or faxes for emergencies. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $165 per 50-minute therapy session or $260 per 80-minute therapy session at the time of each session. Telephone sessions/conversations, writing and reading of reports, consultation with other professionals, etc. will be charged at the same rate of $3.30 per minute, billed in 15-minute increments, unless agreed upon otherwise. Please notify Xxxxxxx Xxxxxx if any problems arise during the course of therapy regarding your ability to make timely payments. Please note that Xxxxxxx Xxxxxx is out of network with insurance companies and so all services are private pay. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxxx Xxxxxxx Xxxxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx Xxxxxxx Xxxxxx may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx Xxxxxxx Xxxxxx is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. XxThese approaches include, but are not limited to cognitive-behavioral, EMDR, BWRT, solution-focused, system/family, hypnotherapy or psycho-educational. Xxxxx Xxxxxxx Xxxxxx provides neither custody evaluation recommendation nor medication or prescription recommendation nor legal advice, as these activities do not fall within her scope of practice.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx me between sessions, please leave a text message on her confidential voicemail at (000) 000-0000 and your call I will be returned contact you as soon as possible. Every effort will be made to return your call the same day, with the exception of weekends and holidaysI check my messages during daytime hours. If you are difficult need to reachmake a same day appointment indicate this clearly in your message. However, please leave times that if you are likely available need immediate assistance, call Marin Psychiatric Emergency Services’, 24-hour crisis line at (000) 000-0000; or call the Emergency Response Team at 9-1-1. E-Mails, Cell Phones, Computers, Faxes: It is very important to be reached aware that computers and e-mail and cell phone communication can be accessed by unauthorized people and, hence, can compromise your privacy and confidentiality of such communication. E-mails and faxes are vulnerable to such unauthorized access. My computers are equipped with a password, however the phone number to use. If you canemails are not reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911encrypted. Please do not notify me if you decide to avoid or limit, in any way, the use of any or all communication devises, such as e-mail, textscell phone or fax. Agreement for Treatment: Xxxx Xxxx XxXxxx-Xxxxx, or faxes for emergencies. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICEMA, PHN, LMFT #35490 NPI: (cont.) The Process of Therapy: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, honesty and openness in order to change achieve your thoughts, feelings, and/or behaviorgoals. Xx. Xxxxx I will ask for your feedback and views on your therapy, its progress, progress and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situationtherapy. During evaluation or therapy, remembering or talking about unpleasant events, feelings, feelings or thoughts can result in you experiencing considerable discomfort or strong feelings of such as anger, sadness, worry, fear, etc., or experiencing anxiety, depression, and insomnia, etcamong others. Xx. Xxxxx I may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, about or handling situations, which can cause you to feel very upset, angry, depressed, challenged, . This may result in uncomfortable feelings or disappointedthoughts. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes or decisions that were not originally intended. Psychotherapy may result in decisions about changing behaviors, anticipated such as employment, substance use, schooling, housing, housing or relationships. Sometimes a decision that is positive for one Sometimes, another family member is viewed quite may view decisions negatively by another family memberthat you may see as positive. Change will sometimes be easy and swift, but more often it will be slow and the therapeutic pace is unpredictable, even frustratingslower than anticipated. There is no guarantee that psychotherapy will yield positive or intended results. Scope of Practice: During the course of therapy, Xx. Xxxxx is therapy I am likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her my assessment of what will best benefit you. XxThese approaches include, but are not limited to behavioral, cognitive-behavioral, psychodynamic, system/family, humanistic, psycho-educational, experiential or holistic approaches. Xxxxx provides neither Our bodies are a great resource to us. When we listen to our bodies, we can derive valuable information that may not otherwise be consciously available to us. In holistic therapy we not only pay attention to our thoughts, but also to the sensations and emotions that are experienced in the body. This type of psychotherapy recognizes the relationship and interconnectedness between what ís going on in our minds with what ís going on in our bodies, posture, movements, gestures and energy fields. As I am also a licensed registered nurse my clients may, from time to time, wish to benefit from my knowledge of wellness practices which enhance their mental/emotional/physical state. I do not provide custody evaluation recommendation nor medication evaluations, medications, prescriptions, or prescription recommendation nor legal advice, as these activities do not fall within her my scope of practice. Dual Relationships: Dual relationships are those in which the therapist may interact with the client in a setting outside the therapeutic relationship. In general dual relationships can be confusing to the client- therapist relationship. Therapy never involves a romantic, sexual or any other dual relationship, which could be exploitive in nature or impair the therapist’s objectivity, clinical judgment or the therapeutic effectiveness. At the same time, Marin County is a small county and you may know a client in the waiting room or happen to see me when I am out in the community. Because I will never acknowledge my therapeutic relationships without a client’s written permission, if I were to see you in public I would not acknowledge that we know one another. It will be your choice if you wish to do so.

TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx Xxxxxxx Xxxxxx between sessions, please leave a message on her confidential voicemail and at 000-000-0000. Please understand that your call will be returned as soon as possible. Every effort will , but that she may not be made available to return the call within 24 hours if she is out of town. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away call the same day, with the exception of weekends and holidays. If you are difficult to reach, please leave times that you are likely available to be reached and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician Magellan Crisis Line at 000-000-0000 or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911. Please do not use e-mail, texts, email or faxes for emergencies. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $175 per 50-minute therapy session or $275 per 80-minute therapy session at the time of each session. Telephone sessions/conversations, writing and reading of reports, consultation with other professionals, etc. will be charged at the same rate of $3.50 per minute, billed in 15-minute increments, unless agreed upon otherwise. Please notify Xxxxxxx Xxxxxx if any problems arise during the course of therapy regarding your ability to make timely payments. Please note that Xxxxxxx Xxxxxx is out of network with insurance companies and so all services are private pay. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxxx Xxxxxxx Xxxxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx Xxxxxxx Xxxxxx may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx Xxxxxxx Xxxxxx is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. XxThese approaches include, but are not limited to cognitive-behavioral, EMDR, BWRT, solution-focused, system/family, hypnotherapy or psycho-educational. Xxxxx Xxxxxxx Xxxxxx provides neither custody evaluation recommendation nor medication or prescription recommendation nor legal advice, as these activities do not fall within her scope of practice.