{"component": "clause", "props": {"groups": [{"snippet_links": [{"key": "prior-authorization", "type": "definition", "offset": [0, 19]}, {"key": "coverage-of", "type": "clause", "offset": [36, 47]}, {"key": "additional-authorization", "type": "clause", "offset": [113, 137]}, {"key": "member-cost", "type": "definition", "offset": [155, 166]}, {"key": "calendar-year", "type": "clause", "offset": [225, 238]}], "size": 9, "samples": [{"hash": "fJssW76c5yP", "uri": "/contracts/fJssW76c5yP#therapy", "label": "Medical and Hospital Service Contract", "score": 24.8945922852, "published": true}, {"hash": "aPSN2lW8hQZ", "uri": "/contracts/aPSN2lW8hQZ#therapy", "label": "Medical and Hospital Service Contract", "score": 24.8945922852, "published": true}, {"hash": "90stC2bTwXx", "uri": "/contracts/90stC2bTwXx#therapy", "label": "Large Group Choice Plan Medical and Hospital Service Contract", "score": 24.8945922852, "published": true}], "snippet": "Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. Additional authorization is required when Member cost-sharing for nutrition and/or supplies exceeds $2,500 in a Calendar Year.", "hash": "e11ba13fdcf5d45060ab483fec0c787b", "id": 2}, {"snippet_links": [{"key": "nutritional-supplements", "type": "clause", "offset": [22, 45]}, {"key": "low-protein-modified-foods", "type": "definition", "offset": [50, 76]}, {"key": "use-at-home", "type": "clause", "offset": [81, 92]}, {"key": "a-member", "type": "definition", "offset": [96, 104]}, {"key": "ordered-by", "type": "definition", "offset": [155, 165]}, {"key": "treatment-of", "type": "clause", "offset": [192, 204]}, {"key": "inborn-error-of-metabolism", "type": "definition", "offset": [208, 234]}, {"key": "amino-acid", "type": "clause", "offset": [270, 280]}, {"key": "prior-authorization", "type": "definition", "offset": [323, 342]}, {"key": "coverage-of", "type": "clause", "offset": [359, 370]}, {"key": "services-for", "type": "clause", "offset": [479, 491]}, {"key": "benefit-maximums", "type": "definition", "offset": [503, 519]}], "size": 30, "samples": [{"hash": "bz8sHQ3jFQt", "uri": "/contracts/bz8sHQ3jFQt#therapy", "label": "Medical and Hospital Service Contract With Point of Service Rider", "score": 26.697467804, "published": true}, {"hash": "2b27iuervqT", "uri": "/contracts/2b27iuervqT#therapy", "label": "Medical and Hospital Service Contract", "score": 26.697467804, "published": true}, {"hash": "lTLiknnAlVg", "uri": "/contracts/lTLiknnAlVg#therapy", "label": "Medical and Hospital Service Contract", "score": 26.4702262878, "published": true}], "snippet": "Prescription-required nutritional supplements and low protein modified foods for use at home by a Member through age 24, may be covered when prescribed or ordered by a Physician, only for the treatment of an inborn error of metabolism genetic disease, e.g., Disorder of Amino Acid metabolism such as phenylketonuria (PKU). Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. See Part X. LIMITATIONS OF COVERED MEDICAL SERVICES for applicable benefit maximums.", "hash": "126ca8492aa7ac37f1030cb3898b3658", "id": 1}, {"snippet_links": [{"key": "speech-therapy", "type": "definition", "offset": [28, 42]}, {"key": "subject-to-the", "type": "definition", "offset": [91, 105]}, {"key": "physical-therapy", "type": "definition", "offset": [129, 145]}], "size": 5, "samples": [{"hash": "wxvKcUvoz", "uri": "/contracts/wxvKcUvoz#therapy", "label": "Health Care Plan Rules", "score": 24.5934295654, "published": true}, {"hash": "bALm6PlidN8", "uri": "/contracts/bALm6PlidN8#therapy", "label": "Health Care Plan Rules", "score": 24.0937709808, "published": true}, {"hash": "bFDk2k095nn", "uri": "/contracts/bFDk2k095nn#therapy", "label": "Health Care Plan Rules", "score": 23.6036968231, "published": true}], "snippet": "Physical, occupational, and speech therapy are covered when pre- scribed by a provider and subject to the pro- visions below:\nA. Physical therapy.", "hash": "01a6e1730abbbf0040ffd172b459188d", "id": 4}, {"snippet_links": [{"key": "currently-in", "type": "definition", "offset": [42, 54]}, {"key": "duration-of", "type": "definition", "offset": [193, 204]}, {"key": "the-requirement", "type": "clause", "offset": [221, 236]}, {"key": "approved-by", "type": "clause", "offset": [301, 312]}, {"key": "the-training", "type": "clause", "offset": [313, 325]}, {"key": "in-accordance-with", "type": "clause", "offset": [370, 388]}, {"key": "foundation-training", "type": "definition", "offset": [405, 424]}], "size": 5, "samples": [{"hash": "3vmrlvI31xZ", "uri": "/contracts/3vmrlvI31xZ#therapy", "label": "Placement Agreement", "score": 28.7231292725, "published": true}, {"hash": "fXV7mz5uTLZ", "uri": "/contracts/fXV7mz5uTLZ#therapy", "label": "Placement Agreement", "score": 23.8624229431, "published": true}, {"hash": "hyiNhI00RjP", "uri": "/contracts/hyiNhI00RjP#therapy", "label": "Placement Agreement", "score": 23.8583164215, "published": true}], "snippet": "All counsellors are required either to be currently in appropriate psychodynamic personal therapy or to have had experience of psychodynamic/psychoanalytic therapy at least once weekly for the duration of their training. The requirement for Trainee counsellors is that they remain in personal therapy approved by the Training Team for the duration of their training and in accordance with The Counselling Foundation Training Handbooks for the Diploma in Psychodynamic Counselling.", "hash": "9a553bb65b1f8e377a252a19fa2798c9", "id": 5}, {"snippet_links": [{"key": "general-statements", "type": "clause", "offset": [18, 36]}, {"key": "depending-on-the", "type": "clause", "offset": [45, 61]}, {"key": "to-discuss", "type": "definition", "offset": [171, 181]}, {"key": "work-on", "type": "clause", "offset": [396, 403]}, {"key": "at-home", "type": "clause", "offset": [454, 461]}, {"key": "frequency-of", "type": "clause", "offset": [463, 475]}, {"key": "the-individual", "type": "clause", "offset": [504, 518]}, {"key": "ready-to", "type": "clause", "offset": [643, 651]}, {"key": "benefits-and-risks", "type": "clause", "offset": [722, 740]}, {"key": "the-other-hand", "type": "clause", "offset": [931, 945]}, {"key": "no-guarantees", "type": "clause", "offset": [1147, 1160]}, {"key": "important-information-about", "type": "clause", "offset": [1285, 1312]}, {"key": "services-and", "type": "clause", "offset": [1329, 1341]}, {"key": "business-policies", "type": "definition", "offset": [1342, 1359]}, {"key": "summary-information", "type": "clause", "offset": [1378, 1397]}, {"key": "health-insurance-portability-and-accountability-act", "type": "definition", "offset": [1408, 1459]}, {"key": "federal-law", "type": "definition", "offset": [1475, 1486]}, {"key": "privacy-protections", "type": "clause", "offset": [1505, 1524]}, {"key": "patient-rights", "type": "clause", "offset": [1533, 1547]}, {"key": "with-regard-to", "type": "clause", "offset": [1548, 1562]}, {"key": "your-protected-health-information", "type": "clause", "offset": [1589, 1622]}, {"key": "for-the-purpose-of", "type": "definition", "offset": [1634, 1652]}, {"key": "notice-of-privacy-practices", "type": "definition", "offset": [1742, 1769]}, {"key": "use-and-disclosure-of-phi", "type": "clause", "offset": [1774, 1799]}, {"key": "for-treatment", "type": "clause", "offset": [1800, 1813]}, {"key": "payment-and-health-care-operations", "type": "clause", "offset": [1815, 1849]}, {"key": "the-notice", "type": "clause", "offset": [1851, 1861]}, {"key": "office-policies", "type": "clause", "offset": [1883, 1898]}, {"key": "personal-health-information", "type": "clause", "offset": [1984, 2011]}, {"key": "the-law", "type": "clause", "offset": [2031, 2038]}, {"key": "your-signature", "type": "definition", "offset": [2062, 2076]}, {"key": "at-the-end-of", "type": "clause", "offset": [2138, 2151]}, {"key": "the-procedures", "type": "definition", "offset": [2313, 2327]}, {"key": "page-of", "type": "clause", "offset": [2357, 2364]}, {"key": "intake-form", "type": "clause", "offset": [2369, 2380]}, {"key": "agreement-between", "type": "clause", "offset": [2415, 2432]}, {"key": "agreement-in-writing", "type": "clause", "offset": 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3305]}, {"key": "legally-bound", "type": "clause", "offset": [3315, 3328]}, {"key": "information-confidential", "type": "clause", "offset": [3341, 3365]}, {"key": "our-work", "type": "clause", "offset": [3472, 3480]}, {"key": "clinical-record", "type": "clause", "offset": [3529, 3544]}, {"key": "health-insurers", "type": "definition", "offset": [3615, 3630]}, {"key": "overdue-fees", "type": "clause", "offset": [3645, 3657]}, {"key": "in-this-agreement", "type": "definition", "offset": [3682, 3699]}, {"key": "family-members", "type": "clause", "offset": [3820, 3834]}, {"key": "information-without", "type": "clause", "offset": [3949, 3968]}, {"key": "your-consent", "type": "clause", "offset": [3976, 3988]}, {"key": "government-agency", "type": "clause", "offset": [4014, 4031]}, {"key": "for-health-oversight-activities", "type": "clause", "offset": [4062, 4093]}, {"key": "to-provide", "type": "clause", "offset": [4113, 4123]}, {"key": "relevant-information", "type": "definition", "offset": [4208, 4228]}, {"key": "compensation-claim", "type": "definition", "offset": [4311, 4329]}, {"key": "related-to", "type": "definition", "offset": [4360, 4370]}, {"key": "the-claim", "type": "definition", "offset": [4371, 4380]}, {"key": "copies-of-all", "type": "definition", "offset": [4424, 4437]}, {"key": "medical-reports-and-bills", "type": "clause", "offset": [4438, 4463]}, {"key": "current-situation", "type": "clause", "offset": [4695, 4712]}, {"key": "a-child", "type": "definition", "offset": [4738, 4745]}, {"key": "disabled-adult", "type": "definition", "offset": [4747, 4761]}, {"key": "a-senior", "type": "clause", "offset": [4765, 4773]}, {"key": "required-by-law", "type": "definition", "offset": [4789, 4804]}, {"key": "abuse-or-neglect", "type": "clause", "offset": [4825, 4841]}, {"key": "provide-additional-information", "type": "clause", "offset": [4894, 4924]}, {"key": "court-order", "type": "definition", "offset": [5026, 5037]}, {"key": "a-judge", "type": "definition", "offset": [5043, 5050]}, {"key": "any-action", "type": "definition", "offset": [5258, 5268]}, {"key": "privacy-policy", "type": "definition", "offset": [5326, 5340]}, {"key": "additional-information-regarding", "type": "clause", "offset": [5369, 5401]}], "size": 6, "samples": [{"hash": "bqLA6TFT2oy", "uri": "/contracts/bqLA6TFT2oy#therapy", "label": "Office Policies, Procedures and Services Agreement", "score": 29.7250061035, "published": true}, {"hash": "8GIKcpoPqq7", "uri": "/contracts/8GIKcpoPqq7#therapy", "label": "Office Policies, Procedures and Services Agreement", "score": 29.4786434174, "published": true}], "snippet": "Psychotherapy, in general statements, varies depending on the personalities and skills of the counselor and patient. Each particular problem you are experiencing and hope to discuss may be addressed using different methods. Psychotherapy is not like a medical doctor visit. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work on things we talk about both during our sessions and at home. Frequency of visits will be addressed in the individual session. As you progress, the frequency of visits may change. If you want to decrease the frequency of appointments or feel ready to terminate therapy, we can discuss accordingly. Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, psychotherapy has also been shown to have many benefits. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. But there are no guarantees of what you will experience. Typically, the more invested you are in therapy, the better the outcome. This section contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new federal law that provides new privacy protections and new patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that I provide you with a Notice of Privacy Practices for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which follows these Office Policies and is included as part of this Agreement, explains HIPAA and it application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information at the end of this session. Although these documents are long and sometimes complex, it is important that you read them carefully. We can discuss any questions you have about the procedures. When you sign the signature page of the intake form, your signature will represent an agreement between us. You may revoke this Agreement in writing at any time. That revocation will be binding on me unless I have taken action in reliance on it; if there are obligations imposed on me by your health insurer in order to process or substantiate claims made under your policy; or if you have not satisfied any financial obligations you have incurred. Our sessions are confidential and in most cases, I can only release information about your treatment to others if you sign a written authorization form. There are other situations that require only written, advance consent. Your signature on this Agreement provides consent for those activities as follows: \u2022 I may occasionally find it helpful to consult other health and mental health professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my patient. The other professionals are also legally bound to keep the information confidential. If you don\u2019t object, I will not tell you about these consultations unless I feel that it is important to our work together. I will note all consultations in your Clinical Record (which is called Protected Health Information, PHI). \u2022 Disclosures by health insurers or to collect overdue fees are discussed elsewhere in this Agreement. \u2022 If a patient threatens to harm himself/herself, I may be obligated to seek hospitalization for him/her or to contact family members or others who can help provide protection. There are some situations where I am permitted or required to disclose information without either your consent or Authorization: \u2022 If a government agency is requesting the information for health oversight activities, I may be required to provide it for them. \u2022 If a patient files a complaint or lawsuit against me, I may disclose relevant information regarding that patient in order to defend myself. \u2022 If a patient files a worker\u2019s compensation claim, and I am providing treatment related to the claim, I must, upon appropriate request, furnish copies of all medical reports and bills. There are some situations in which I am legally obligated to take actions and will release information without your written authorization or consent. These situations are unusual in my practice and are follows: \u2022 You tell me of a current situation involving the welfare of a child, disabled adult or a senior, in which I am required by law to report suspected abuse or neglect. Once a report has been filed, I may be required to provide additional information. \u2022 You report intentions to harm someone; \u2022 You report intentions of harming yourself; \u2022 I receive a court order from a judge to release information. I will take action to object but ultimately, I may be required to release information. If such a situation arises, I will make every effort to fully discuss it with you before taking any action and I will limit my disclosure to what is necessary. The Privacy Policy which follows also outlines additional information regarding confidentiality of your protected health information. This information should be helpful in informing you, however if you have any questions about confidentiality, please ask.", "hash": "a866b3933c72b76aed4b75649902406a", "id": 3}, {"snippet_links": [{"key": "general-statements", "type": "clause", "offset": [35, 53]}, {"key": "depending-on-the", "type": "clause", "offset": [65, 81]}, {"key": "group-therapy", "type": "definition", "offset": [345, 358]}, {"key": "work-on", "type": "clause", "offset": [526, 533]}, {"key": "at-work", "type": "definition", "offset": [604, 611]}, {"key": "of-concern", "type": "definition", "offset": [734, 744]}, {"key": "potential-benefits", "type": "clause", "offset": [770, 788]}, {"key": "the-therapy-process", "type": "clause", "offset": [1255, 1274]}, {"key": "risks-of-therapy", "type": "clause", "offset": [1282, 1298]}, {"key": "a-change-in", "type": "definition", "offset": [1379, 1390]}, {"key": "to-maintain", "type": "clause", "offset": [1403, 1414]}, {"key": "certain-relationships", "type": "clause", "offset": [1415, 1436]}, {"key": "development-of", "type": "clause", "offset": [1569, 1583]}, {"key": "types-of", "type": "clause", "offset": [1590, 1598]}, {"key": "no-guarantee", "type": "clause", "offset": [1720, 1732]}, {"key": "periodically-reviewed", "type": "definition", "offset": [1853, 1874]}, {"key": "the-client", "type": "clause", "offset": [1935, 1945]}, {"key": "mutually-agree", "type": "definition", "offset": [1946, 1960]}, {"key": "reason-to-terminate", "type": "clause", "offset": [2034, 2053]}, {"key": "right-to-terminate", "type": "definition", "offset": [2068, 2086]}, {"key": "at-any-time", "type": "clause", "offset": [2095, 2106]}, {"key": "to-discuss", "type": "definition", "offset": [2127, 2137]}, {"key": "your-concerns", "type": "clause", "offset": [2138, 2151]}, {"key": "one-session", "type": "definition", "offset": [2173, 2184]}, {"key": "second-opinion", "type": "clause", "offset": [2234, 2248]}, {"key": "other-professionals", "type": "clause", "offset": [2302, 2321]}, {"key": "health-and", "type": "clause", "offset": [2415, 2425]}, {"key": "mental-health-professionals", "type": "definition", "offset": [2426, 2453]}, {"key": "the-decision", "type": "clause", "offset": [2737, 2749]}, {"key": "in-advance", "type": "clause", "offset": [2811, 2821]}, {"key": "nature-of-the", "type": "clause", "offset": [2858, 2871]}], "size": 5, "samples": [{"hash": "8UEj8RU7iAY", "uri": "/contracts/8UEj8RU7iAY#therapy", "label": "Professional Services", "score": 22.4271850586, "published": true}, {"hash": "fBUstinRdo6", "uri": "/contracts/fBUstinRdo6#therapy", "label": "Professional Services Agreement", "score": 20.7138938904, "published": true}], "snippet": "Therapy is not easily described in general statements. It varies depending on the personalities of the therapist and patient and the particular problems you are experiencing. There are many different methods that may be used to deal with the problems you hope to address in therapy. Approaches to treatment may include individual, family and/or group therapy. Therapy is not like a medical doctor visit. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will need to work on things both during your therapy sessions and outside of therapy (e.g. at work school and/or home). The initial focus of therapy is on understanding the thoughts, feelings and life situations that are of concern to you. Therapy has many potential benefits. Therapy often leads to better relationships, solutions to specific problems, improved self-awareness and significant reductions in feelings of distress. Therapy also has risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings such as sadness, guilt, anger frustration, anxiety and helplessness. It is important to recognize that these feelings may be natural and normal and are an important part of the therapy process. Other risks of therapy include recalling unpleasant events, facing unpleasant thoughts and beliefs and a change in your desire to maintain certain relationships. Therapy can become a place where major life decisions are sometimes made including decisions involving separation within families, development of other types of relationships, changing employment settings and changing lifestyles. Although therapy is expected to be helpful there is no guarantee that therapy will accomplish your desired goals. Goals for therapy are determined within the first few sessions and are periodically reviewed and refined. Termination occurs when both the therapist and the client mutually agree that the goals have been satisfactorily addressed or there is some other reason to terminate. You have the right to terminate therapy at any time but I encourage you to discuss your concerns with me for at least one session before termination. You have the right to seek a second opinion from another mental health professional. Referral to other professionals, if requested or indicated, will be made at any time. Psychologists are often asked by other health and mental health professionals to administer a battery of psychological tests to assess your intellectual, academic, and/or emotional functioning. It is also sometimes beneficial to administer psychological tests in the early stages of therapy to further clarify issues that may need to be the focus of treatment. The decision to administer psychological tests will be discussed with you in advance and the discussion will include the nature of the tests to be utilized, the rationale for testing, and how the results might be used. 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