Common use of Termination of Therapy Clause in Contracts

Termination of Therapy. The Therapist reserves the right to terminate therapy at his/her discretion. Reasons for termination include, but are not limited to, untimely payment of fees, failure to comply with treatment recommendations, conflicts of interest, failure to participate in therapy, the Client’s needs are outside of the Therapist’s scope of competence or practice, or the Client is not making adequate progress in therapy. The Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, the Therapist will generally recommend that the Client participate in at least one, or possibly more, termination sessions. These sessions are intended to facilitate a positive termination experience and give both parties an opportunity to reflect on the work that has been conducted. The Therapist will also attempt to ensure a smooth transition to another Therapist by offering referrals to the Client. Acknowledgement: By signing below, the Representative acknowledges that he/she has reviewed and fully understands the terms and conditions of this agreement. The Representative has discussed such terms and conditions with the Therapist, and has had any questions with regard to its terms and conditions answered to the Representative’s satisfaction. The Representative agrees to abide by the terms and conditions of this Agreement and consents to the Client’s participation in psychotherapy with the Therapist. Moreover, the Representative agrees to hold the Therapist free and harmless from any claims, demands, or suits for damages from any injury or complications whatsoever, save negligence, that may result from such treatment. I understand that I am financially responsible to the Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Print) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please print.

Termination of Therapy. The Therapist reserves the right to terminate therapy at his/her discretion. Reasons for termination include, but are not limited to, untimely payment of fees, failure to comply with treatment recommendations, conflicts of interest, and failure to participate in therapy, the Client’s my needs are outside of the Therapist’s 's scope of competence or practice, or the Client is I am not making adequate progress in therapy. The Client has I have the right to terminate therapy at his/her my discretion. Upon either party’s 's decision to terminate therapy, the Therapist will generally recommend that the Client I participate in at least one, or possibly more, termination sessions. These sessions are intended to facilitate a positive termination experience and give both parties an opportunity to reflect on the work that has been conductedfor reflection. The Therapist will also attempt to ensure a smooth transition to another Therapist therapist by offering referrals to the Clientreferrals. AcknowledgementAcknowledgment: By signing below, the Representative acknowledges I acknowledge that he/she has I have reviewed and fully understands understand the terms and conditions of this agreementAgreement. The Representative has I have discussed such these terms and conditions with the Therapist, and has have had any questions with regard to its terms and conditions answered to the Representative’s my satisfaction. The Representative agrees I agree to abide by the terms and conditions of this Agreement and consents to the Client’s participation in psychotherapy with the TherapistAgreement. Moreover, the Representative agrees I agree to hold the Ventura Community Counseling and Therapist and any Clinical Supervisors involved free and harmless from any claims, demands, or suits for damages from any injury or complications whatsoever, save negligence, that may result from such treatment. I have read the above terms and conditions and understand that I am financially responsible to the Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Print) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please printthem.

Termination of Therapy. The Therapist reserves I reserve the right to terminate therapy at his/her my discretion. Reasons for termination include, but are not limited to, untimely payment of fees, failure to comply with treatment recommendations, conflicts of interest, failure to participate in therapy, the Client’s client needs are outside of the Therapist’s my scope of competence or practice, or the Client client is not making adequate progress in therapy. The Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, the Therapist I will generally recommend that the Client client participate in at least one, or possibly more, termination sessions. These sessions are intended to facilitate a positive termination experience and give both parties an opportunity to reflect on the work that has been conducteddone. The Therapist I will also attempt to ensure a smooth transition to another Therapist therapist by offering referrals to the Clientclient. Acknowledgement: Acknowledgment By signing below, the Representative client acknowledges that he/she has reviewed and fully understands the terms and conditions of this agreementAgreement. The Representative Client has discussed such terms and conditions with the Therapist, and has had any questions with regard to its terms and conditions answered to the Representativeclient’s satisfaction. The Representative Client agrees to abide by the terms and conditions of this Agreement and consents to the Client’s participation participate in psychotherapy with the Therapist. Moreover, the Representative client agrees to hold the Therapist free and harmless from any claims, demands, or suits for damages from any injury or complications whatsoever, save negligence, that may result from such treatment. I understand that I am financially responsible to Client or Client representative acknowledges having received a copy of the Therapist for all charges, including unpaid charges by my insurance company or any other third-party payorNotice of Privacy Practices. AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Printplease print) Date Signature of Representative Date (or authorized representative and relationship to client) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please print.Representative Date

Termination of Therapy. The Therapist reserves I reserve the right to terminate therapy at his/her my discretion. Reasons for termination include, but are not limited to, untimely payment of fees, failure to comply with treatment recommendations, conflicts of interest, failure to participate in therapy, the Client’s your needs are outside of the Therapist’s my scope of competence or practice, or the Client is you are not making adequate progress in therapy. The Client has You have the right to terminate therapy at his/her your discretion. Upon either party’s decision to terminate therapy, the Therapist I will generally recommend that the Client you participate in at least one, or possibly more, more termination sessions. These sessions are intended to facilitate a positive termination experience and give both parties an opportunity to reflect on the work that has been conducteddone. The Therapist I will also attempt to ensure a smooth transition to another Therapist therapist by offering referrals to the Clientappropriate referrals. Acknowledgement: By signing below, the Representative acknowledges you acknowledge that he/she has you have reviewed and fully understands understand the terms and conditions of this agreementAgreement. The Representative has You have discussed such terms and conditions with the Therapistme, and has have had any questions with regard to its terms and conditions answered to the Representative’s your satisfaction. The Representative agrees You agree to abide by the terms and conditions of this Agreement agreement and consents to the Client’s participation participate in psychotherapy telehealth sessions with the TherapistXxxxxx Xxxxxxx, MA, MFT. Moreover, the Representative agrees you agree to hold the Therapist therapist free and harmless from any claims, demands, or suits for damages from any injury or complications whatsoever, save negligence, that may result from such treatment. I understand that I am financially responsible to the Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Print) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please print.

Termination of Therapy. The Therapist reserves I reserve the right to terminate therapy at his/her my discretion. Reasons for termination include, but are not limited to, untimely payment of fees, failure to comply with treatment recommendations, conflicts of interest, failure to participate in therapy, the Client’s your needs are outside of the Therapist’s my scope of competence or practice, or the Client is you are not making adequate progress in therapy. The Client has You have the right to terminate therapy at his/her your discretion. Upon either party’s decision to terminate therapy, the Therapist I will generally recommend that the Client you participate in at least one, or possibly more, more termination sessions. These sessions are intended to facilitate a positive termination experience and give both parties an opportunity to reflect on the work that has been conducteddone. The Therapist I will also attempt to ensure a smooth transition to another Therapist therapist by offering referrals to the Clientappropriate referrals. Acknowledgement: By signing below, the Representative acknowledges you acknowledge that he/she has you have reviewed and fully understands understand the terms and conditions of this agreementAgreement. The Representative has You have discussed such terms and conditions with the Therapist, me and has have had any questions with regard to its terms and conditions answered to the Representative’s your satisfaction. The Representative agrees You agree to abide by the terms and conditions of this Agreement agreement and consents to the Client’s participation participate in psychotherapy telehealth sessions with the TherapistXxxxxx Xxxxxxx, MA, MFT. Moreover, the Representative agrees you agree to hold the Therapist therapist free and harmless from any claims, demands, or suits for damages from any injury or complications whatsoever, save negligence, that may result from such treatment. I understand that I am financially responsible to the Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Print) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please print.