BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patient.
Appears in 16 contracts
Samples: Outpatient Services Agreement, Outpatient Services Agreement, Outpatient Services Agreement
BENEFITS AND RISKS. Psychotherapy and psychological evaluations often engenders engender intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or patient, an improved relationshiprelationship with the patient, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about Information from you may will be entered into the identified patient’s chart. The patient (or in the case of a minor, the parent or legal guardian) has a right to access the chart and the material contained therein. It However, it is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patient.
Appears in 2 contracts
Samples: Collateral Agreement, Collateral Agreement
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, relationship or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patient.
Appears in 2 contracts
Samples: Counseling and Psychological Services Agreement, irp-cdn.multiscreensite.com
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral collateral, you are not responsible and the patient should agree on who will pay for paying for my professional services unless you are financially responsible for the patientyour session(s).
Appears in 1 contract
Samples: drbettina.com
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s 's chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patient.
Appears in 1 contract
Samples: Outpatient Service Agreement
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you have arranged with your spouse to pay or are financially responsible for the patient.
Appears in 1 contract
Samples: irp.cdn-website.com
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patientclient. While your participation can may result in better understanding of the patient client or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patientclient’s chart. The patient client has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patientclient. You will not carry a diagnosis, diagnosis and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patientclient or if we agree to this in advance and in writing. I understand and agree to the terms of this agreement.
Appears in 1 contract
Samples: drchristinebielinski.com
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patientclient. While your participation can result in better understanding of the patient client or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patientclient’s chart. The patient client has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You As a collateral, you have no right to access that chart without the written consent of the identified patientclient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patientclient.
Appears in 1 contract
Samples: Outpatient Services Agreement
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS Medical Records No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patient.
Appears in 1 contract
Samples: www.drhornstein.com
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s 's chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my our professional services unless you are financially responsible for the patient.
Appears in 1 contract
Samples: Outpatient Service Agreement
BENEFITS AND RISKS. Psychotherapy often engenders intense emotional experiences, and your participation may engender strong anxiety or emotional distress. It may also expose or create tension in your relationship with the patient. While your participation can result in better understanding of the patient or an improved relationship, relationship or may even help in your own growth and development, there is no guarantee that this will be the case. Psychotherapy is a positive experience for many, but it is not helpful to all people. MEDICAL RECORDS No record or chart will be maintained on you in your role as a collateral. Notes about you may be entered into the identified patient’s chart. The patient has a right to access the chart and the material contained therein. It is sometimes possible to maintain the privacy of our communications. If that is your wish, we should discuss it before any information is communicated. You have no right to access that chart without the written consent of the identified patient. You will not carry a diagnosis, and there is no individualized treatment plan for you. FEES As a collateral you are not responsible for paying for my professional services unless you are financially responsible for the patientservices.
Appears in 1 contract
Samples: chabeliado.com