Duty to Warn. The Contractor agrees to call to the Town’s attention errors in any drawings, plans, sketches, instructions, information, requirements, procedures, and/or other data supplied to the Contractor (by the Town or by any other party) that it becomes aware of and believes may be unsuitable, improper, or inaccurate in a material way. However, the Contractor shall not independently verify the validity, completeness or accuracy of such information unless included in the Services or otherwise expressly engaged to do so by the Town.
Duty to Warn. Adventure Fit agrees to call to the Town’s attention errors in any drawings, plans, sketches, instructions, information, requirements, procedures, and/or other data supplied to Adventure Fit that it becomes aware of and believes may be unsuitable, improper, or inaccurate in a material way. However, Adventure Fit shall not independently verify the validity, completeness or accuracy of such information unless included in the Services or otherwise expressly engaged to do so by the Town.
Duty to Warn. CONTRACTOR understands that persons providing services under this Agreement may, in certain situations involving a patient or recipient of services who is a danger to himself or others, have a duty to warn third parties of such danger and should consult supervisory staff and/or legal counsel about such duty to warn as appropriate. Dissemination of these Confidentiality Provisions. CONTRACTOR shall inform all its officers, employees, agents, and subcontractors providing services hereunder of these provisions. By my signature below, as the authorized representative of the CONTRACTOR named below, I certify acceptance and understanding for myself and the CONTRACTOR of the above confidentiality provisions. Business Name of Contractor Signature of Authorized Representative Name of Authorized Representative (printed) Date Title of Authorized Representative EXHIBIT D: ASSURANCE OF COMPLIANCE WITH SECTION 504 OF THE REHABILITATION ACT OF 1973, AS AMENDED CONTRACTOR hereby agrees that it will comply with: (1) Section 504 of the Rehabilitation Act of 1973, as amended (29. U.S.C. 794), (2) all requirements imposed by the applicable HHS Regulations (45 C.F.R. Part 84) and, (3) all guidelines and interpretations issued pursuant thereto. Pursuant to Section 84.5(a) of the Regulation (45 C.F.R. 84.5a) CONTRACTOR gives this Assurance in consideration of and for the purpose of obtaining any and all federal grants, loans, contracts (except procurement contracts and contracts of insurance or guaranty), property, discounts or other federal financial assistance extended after the date of this Assurance, including payments or other assistance made after such date on applications for federal financial assistance which will be extended in reliance on the representations and agreements made in this Assurance. The United States will have the right to enforce this Assurance through lawful means. This Assurance is binding on CONTRACTOR, its successors, transferees and assignees. The person or persons whose signatures appear below are authorized to sign this Assurance on behalf of CONTRACTOR. This Assurance obligates CONTRACTOR for the period during which federal financial assistance is extended or, where the assistance is in the form of real or personal property, for the period provided for in section 84.5(b) of the Regulations (45 C.F.R. 84.5b). In addition, CONTRACTOR gives this assurance for the purpose of obtaining payment from the COUNTY under this Agreement, regardless of the fu...
Duty to Warn. As in face to face interactions, a clinician may have to break confidentiality if an individual is going to hurt themselves, someone else, or if someone is hurting them. This is the same for telemedicine and online counseling. In order to ensure the safety of the patient, the clinician requires an up to date address, photo ID, and emergency contact information. During the intake, the clinician and patient will develop a safety plan in case of an emergency. It is important that if any information changes, the clinician and/or Gladstone Psychiatry & Wellness is informed immediately. *I understand the limits of confidentiality as outlined above *I agree to provide my current address and emergency contact information *I agree to inform the clinician and/or Gladstone Psychiatry & Wellness of any updates to this information immediately Terminating Telemedicine and Online Counseling While telemedicine and online counseling can be helpful for many, some people struggle because it limits the ability for both the clinician and the patient to read each other’s body language and nonverbal communication. Patients may also need different levels of care at different times during their treatment journey. At any time, if the clinician believes that online treatment is not meeting the needs of the patient, they may terminate online treatment. The patient may also decide that this modality of treatment is not meeting their needs. If this occurs, the patient and clinician will discuss a treatment plan and options in order to preserve a continuation of care, and to ensure that the patient’s needs are being addressed. *I agree to the termination guidelines as outlined above Limitations of Telemedicine and Online Counseling Telemedicine and online counseling are not appropriate for all patient needs. It is not recommended for persons who are currently experiencing the following: active self-harm ideation, suicidal ideation, and homicidal ideation. As well as, persons who are currently experiencing psychiatric symptoms such psychosis, severe depressive episodes, or active addictions. It is not appropriate for those in crisis situations or those experiencing abuse. It is not appropriate for those undergoing trauma treatments. If the person is under 16 years of age, appropriateness will be discussed with the parent. Some exceptions may be made if it is only occasional and/or supplemental to in-person treatment. Exceptions may also be made in a crisis or emergency situation where me...
Duty to Warn. In accordance with Montana State Code and consistent with the ethics of mental health professionals, client confidentiality may be broken when the client presents in imminent danger to self or others. An appropriate Program Supervisor will review cases before breaking confidentiality in these circumstances. • There are situations in which we may consider suspension or termination of services. The situations may include but not be limited to the following: − The individual / family subjects a Youth Dynamics staff member to hostility or violence. − The individual / family appear unlikely or unwilling to benefit from services. − The individual / family cannot be contacted with reasonable effort. − The individual / family require more restrictive services. − The individual / family fail to keep schedules appointments. − The individual / family can be served with less intensive services. − The individual / family have met their goals. − The individual/family no show or do not provide 24 hours’ notice (no later than 3PM) to their local
Duty to Warn. Event Owner agrees to call to the Town’s attention errors in any drawings, plans, sketches, instructions, information, requirements, procedures, and/or other data supplied to Event Owner (by the Town or by any other party) that it becomes aware of and believes may be unsuitable, improper, or inaccurate in a material way. However, Event Owner shall not independently verify the validity, completeness or accuracy of such information unless included in this Agreement or otherwise expressly engaged to do so by the Town.
Duty to Warn. The Consultant agrees to call to the Town’s attention errors in any drawings, plans, sketches, instructions, information, requirements, procedures, and/or other data supplied to the Consultant (by the Town or by any other party) that it becomes aware of and believes may be unsuitable, improper, or inaccurate in a material way. However, the Consultant shall not independently verify the validity, completeness or accuracy of such information unless included in the Services or otherwise expressly engaged to do so by the Town.
Duty to Warn. A. Practice warrants that it will (1) take all appropriate steps to assure that all vaccines discounted and/or purchased under the CNHN-Merck group purchasing program shall be administered to each patient on the basis of an individualized medical judgment by a physician, or (2) take all appropriate steps to provide to such patient (or to the patient’s parent or guardian) meaningful and complete warnings relating to the risks and benefits of vaccination, in form and language understandable to such patient, parent, or guardian.
Duty to Warn. Coaches are required to warn parents and athletes of unsafe practices specific to a sport and the potential for injury or death. This warning should be issued in writing and both athletes and parents should be required to provide written certification of their comprehension.
Duty to Warn. If I believe that a client is threatening serious bodily harm to another, I am required to take protective actions. These actions may include notifying the potential victim, contacting the police, or seeking hospitalization for the client. Suicide / Self Harm: Depression is a common emotion expressed in therapy, but if you are feeling hopeless enough to imply or disclose a plan for suicide; steps need to be taken to ensure safety. If the client threatens to harm himself or herself, I may be obligated to seek hospitalization for him or her or to contact family members or others who can help provide protection. Insurance Providers: Currently, we do not accept private insurance and health insurance is not accepted by your health insurance provider. We will not submit Information requested includes a description of impairments, dates and times of services, diagnosis, treatment plans, treatment progress, the prognosis for improvement, case notes, and summaries. We do not bill any insurance at this time, expect Medicaid for clients up to age 18. Please sign that you have read the above statements of limits of Confidentiality. I have read and understood the above-stated limitations of Confidentiality, I accept the subsequent ramifications should there be a need to act on one of the above-stated exceptions. I am competent and able to understand what I have read and signed. Client’s signature Date: Therapist have reviewed with client this form: Date: These situations have rarely occurred in my practice. If a similar situation occurs, I will make every effort to fully discuss it with you before taking any action. I may occasionally find it helpful to consult other professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my client. The consultant is also legally bound to keep the information confidential. If you do not object, I will not tell you about these consultations unless I feel that they are important to our work together.
