Consent for Services definition

Consent for Services. I hereby give consent to the Facility, its contractors, physicians, and employees to provide health care services to the Patient and to administer physician orders for the benefit of the Patient for this visit and any subsequent visits. I understand this consent may be revoked in writing at any time. I understand that there is a risk of substantial and serious harm involved in such health care services, and I accept such risk in the hope of obtaining beneficial results from such services. No promises of any particular outcome or successful result have been made. I understand and accept that there is some uncertainty involved in the health care services for which this consent is given. I understand that physicians are separately responsible to explain what they do and, in some cases, to obtain separate consent for services they perform.
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Consent for Services. With enough knowledge, and without being forced, I enter into psychotherapy with this provider. I will keep my provider fully up to date about any changes in my feelings, thoughts, and behaviors. When difficulties arise I will let my provider know so that we can address them in an honest and direct manor. I understand the basic goals and methods of psychotherapy and that my provider may use different methods of helping me and my family and/or minor child based on the unique factors associated with the presented needs. I have no important questions or concerns that the provider has not discussed with me. I understand that reaching the agreed upon therapeutic goal(s) is not guaranteed and that psychotherapy has varying levels of effectiveness for different individuals. I also understand that my therapeutic goal(s) may evolve and change based on new insights and/or changes to my life situation. Individual Psychotherapy Couples Psychotherapy
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Consent for Services. With enough knowledge, and without being forced, I enter into psychotherapy with this provider. I will keep my provider fully up to date about any changes in my feelings, thoughts, and behaviors. When difficulties arise I will let my provider know so that we can address them in an honest and direct manor. I understand the basic goals and methods of psychotherapy and that my provider may use different methods of helping me and my family and/or minor child based on the unique factors associated with the presented needs. I have no important questions or concerns that the provider has not discussed with me. I understand that reaching the agreed upon therapeutic goal(s) is not guaranteed and that psychotherapy has varying levels of effectiveness for different individuals. I also understand that my therapeutic goal(s) may evolve and change based on new insights and/or changes to my life situation. I am agreeing to participate in the following types of services, while acknowledging that the course of psychotherapy may change, and the participants may change, by agreement of all required parties. I also agree that the following individuals will be part of the psychotherapy process: ● ●
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Examples of Consent for Services in a sentence

  • Text Crisis Text Line at 741741 Web Chat at ▇▇▇.▇▇▇▇▇▇▇.▇▇▇ 1 of 2 Consent for Services (Rev.

  • Client Name (Print): Client Signature: Date: Custodial Parent or Guardian Signature: Date: Therapist Signature: Date: 2 of 2 Consent for Services (Rev.

  • In the case of separation, divorce or Social Service involvement, the Consent for Services must be signed by the custodial parent/agency.

  • Client and/or Parent/guardian Signature is Required on the Consent for Services Form.

  • We will protect your information and use your information only as provided for in this User Agreement, our Terms of Use, Privacy Policy, Consent for Services, and the HIPAA Privacy Authorization.

  • With parent consent, Early Steps sends copies of the IFSP, Consent for Services form (see attachment 4), evaluation results and a demographic sheet to FDLRS/Child Find for entry into the ▇▇▇▇▇ data system.

  • As Partnering Agencies, a Parent Consent for Services and Release & Sharing of Information signed by parents/guardians permits sharing of information between Parties to assist the student(s) and family(ies).

  • Assist applicants with the completion of the WIC Signature Page including explanation of the Eligibility for Public Benefits section, the Consent for Services paragraph and the Rights and Obligations section.

  • As Partnering Agencies, a Parent Consent for Services and Release & Sharing of Information signed by parents/guardians permits sharing of information between Parties to assist the student(s) and family (ies).

  • You acknowledge and agree that this license includes a right for us to make such User Content available to other companies, organizations, or individuals with whom we have relationships, and to use such User Content in connection with the provision of Services, in accordance with our Privacy Policy, as well as our HIPAA Privacy Authorization and Consent for Services, if applicable.

Related to Consent for Services

  • Request for Services or “RFS” means the document used by the City’s Project Manager to obtain services under this Agreement. The RFS must include a description of required services and schedule. It is to be emailed/faxed to the Consultant who in turn will provide a detailed costing for the service. The RFS must be reviewed and approved by the City’s Project Manager before the work is to proceed. A detailed process and sample of the RFS is attached as Schedules 2 and 3, respectively.

  • Agent for Service of Process means every person now or hereafter appointed by the Contractor to be served or to accept service of process in any State of the United States. Without excluding any other method of service authorized by law, the Contractor agrees that every Agent for Service of Process is designated as its non-exclusive agent for service of process, summons, and complaint. The Contractor will instruct each Agent for Service of Process that after such agent receives the process, summons, or complaint, such agent shall promptly send it to the Contractor. This subsection (ii) does not apply while the Contractor maintains a registered agent in North Carolina with the office of the N. C. Secretary of State and such registered agent can be found with due diligence at the registered office.

  • Address for Service means [Insert address in the UK to which the Landlord is to respond].

  • Freight forwarding services means the activity consisting of organising and monitoring shipment operations on behalf of shippers, through the acquisition of transport and related services, preparation of documentation and provision of business information.

  • Ready for Service or "RFS" – A Collocation job is considered to be Ready for Service when Qwest has completed all operational work in accordance with CLEC Application and makes functional space available to CLEC. Such work includes, but is not necessarily limited to: DC power (fuses available, Battery Distribution Fuse Board (BDFB) is powered, and cables between CLEC and power are terminated), cage enclosures, primary AC outlet, cable racking, and circuit terminations (e.g., fiber jumpers are placed between the outside plant fiber distribution panel and the Central Office fiber distribution panel serving CLEC) and APOT/CFA are complete, telephone service, and other services and facilities ordered by CLEC for Provisioning by the RFS date.