Common use of Termination of Therapy Clause in Contracts

Termination of Therapy. 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, Client needs are outside of Therapist’s scope of competence or practice, or Client is not making adequate progress in therapy. Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client . Acknowledgement: By signing below, Client acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client ’s satisfaction. Client agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client agrees to hold 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. Client Name (please print) Signature of Client (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. Name of Responsible Party (Please print)

Termination of Therapy. 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, Client Patient needs are outside of Therapist’s scope of competence or practice, or Client Patient is not making adequate progress in therapy. Client Patient has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that Client Patient 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client Patient. Acknowledgement: Acknowledgement By signing below, Client Patient acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client Patient has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client Patient’s satisfaction. Client Patient agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client Patient agrees to hold 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. Client Patient Name (please print) Signature of Client Patient Date _ Parent/Legal Guardian (or authorized representativeif Patient is under 18 years of age) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payorpayer. Patient Signature Date Name of Responsible Party (Please print)Party

Termination of Therapy. 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, Client needs are outside of Therapist’s scope of competence or practice, or Client is not making adequate progress in therapy. Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client . Acknowledgement: Acknowledgement By signing below, Client acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client Client’s satisfaction. Client agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client agrees to hold 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. Client Clients Name (please print) Signature of Client (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. Name of Responsible Party (Please print)Date

Termination of Therapy. 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, Client needs are outside of Therapist’s scope of competence or practice, or Client is not making adequate progress in therapy. Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client Client. Acknowledgement: Acknowledgment By signing below, Client acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client Client’s satisfaction. Client agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client agrees to hold 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. Client Patient Name (please print) Date Signature of Client Patient (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. Name of Responsible Party (Please print)) Date

Termination of Therapy. 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, Client Patient needs are outside of Therapist’s scope of competence or practice, or Client Patient is not making adequate progress in therapy. Client Patient has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that Client Patient 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client Patient. Acknowledgement: Acknowledgement By signing below, Client Patient acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client Patient has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client Patient’s satisfaction. Client Patient agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client Patient agrees to hold 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. Client Patient Name (please print) Signature of Client Patient (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. Name of Responsible Party (Please print)

Termination of Therapy. 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, Client Patient needs are outside of Therapist’s scope of competence or practice, or Client Patient is not making adequate progress in therapy. Client Patient has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that Client Patient 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client Patient. Acknowledgement: Acknowledgement By signing below, Client The Parent/Guardian/Patient acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client Parent/Guardian/Patient has discussed such terms and conditions with Therapist, and has had any questions with regard to about its terms and conditions answered to Client ’s satisfaction. Client Parent/Guardian/Patient agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client Parent/Guardian/Patient agrees to hold 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. Client The Parent/Guardian declares that they have full legal authority to consent to treatment of the Patient: Patient Name (please print) Date Patient’s Signature (If twelve or older) Signature of Client (Parent or authorized representative) Guardian Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company Signature of Parent or any other third-party payor. Name of Responsible Party (Please print)Guardian Date

Termination of Therapy. 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, Client needs are outside of Therapist’s scope of competence or practice, consistent cancellations/no shows, or Client is not making adequate progress in therapy. Client has the right to terminate therapy at his/her discretion. Upon either party’s decision to terminate therapy, Therapist will generally recommend that 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 done. Therapist will also attempt to ensure a smooth transition to another therapist by offering referrals to Client Client. Acknowledgement: Acknowledgment By signing below, Client acknowledges that he/she has reviewed and fully understands the terms and conditions of this Agreement. Client has discussed such terms and conditions with Therapist, and has had any questions with regard to its terms and conditions answered to Client Client’s satisfaction. Client agrees to abide by the terms and conditions of this Agreement and consents to participate in psychotherapy with Therapist. Moreover, Client agrees to hold 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. Client Patient Name (please print) Date Signature of Client Patient (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor. Name of Responsible Party (Please print)) Date