Client Emergencies. Your therapist at CFC is available for counseling appointments at selected times throughout the week. Because your therapist turns off their phone while not working and does not keep a phone on their person at all times, your therapist at CFC is not considered available 24/7 for crisis situations. If you experience a crisis or emergency, you may obtain assistance by calling the Crisis Hotline at (000) 000-0000 or 0-000-000-0000, calling 911, or by going to your local hospital emergency room. Your signature below indicates you have read the Client Services Agreement in its entirety, understand it, and agree to abide by its terms during this professional relationship. You also agree you have had sufficient time to be sure you considered it carefully and had any questions you had answered by your therapist at CFC. Client Signature Date Witness (Staff) Signature Date If client is under 18: Parent or Legal Guardian Date
Appears in 3 contracts
Samples: Client Services Agreement, Client Services Agreement, Client Services Agreement
Client Emergencies. Your therapist at CFC is available for counseling appointments at selected times throughout the week. Because your therapist turns off their phone while not working and does not keep a phone on their person at all times, your therapist at CFC is not considered available 24/7 for crisis situations. If you experience a crisis or emergency, you may obtain assistance by calling the Crisis Hotline at (000) 000-0000 or 0-000-000-0000, calling 911, or by going to your local hospital emergency room. Client Services Agreement (v. 1.27.2022) Your signature below indicates you have read the Client Services Agreement in its entirety, understand it, and agree to abide by its terms during this professional relationship. You also agree you have had sufficient time to be sure you considered it carefully and had any questions you had answered by your therapist at CFC. Client Signature Date Witness (Staff) Signature Date If client is under 18: Parent or Legal Guardian Date
Appears in 1 contract
Samples: Client Services Agreement
Client Emergencies. Your therapist at CFC is available for counseling appointments at selected times throughout the week. Because your therapist turns off their phone while not working and does not keep a phone on their person at all times, your therapist at CFC is not considered available 24/7 for crisis situations. If you experience a crisis or emergency, you may obtain assistance by calling the Crisis Hotline at (000) 000-0000 or 0-000-000-0000, calling 911, or by going to your local hospital emergency room. Client Services Agreement (v. 12.23.2021) Your signature below indicates you have read the Client Services Agreement in its entirety, understand it, and agree to abide by its terms during this professional relationship. You also agree you have had sufficient time to be sure you considered it carefully and had any questions you had answered by your therapist at CFC. Client Signature Date Witness (Staff) Signature Date If client is under 18: Parent or Legal Guardian Date
Appears in 1 contract
Samples: Client Services Agreement
Client Emergencies. Your therapist at CFC is available for counseling appointments at selected times throughout the week. Because your therapist turns off their phone while not working and does not keep a phone on their person at all times, your therapist at CFC is not considered available 24/7 for crisis situations. If you experience a crisis or emergency, you may obtain assistance by calling the Crisis Hotline at (000) 000-0000 or 01-000800-000-0000221- 0446, calling 911, or by going to your local hospital emergency room. Client Services Agreement (v. 3.15.2022) Your signature below indicates you have read the Client Services Agreement in its entirety, understand it, and agree to abide by its terms during this professional relationship. You also agree you have had sufficient time to be sure you considered it carefully and had any questions you had answered by your therapist at CFC. Client Signature Date Witness (Staff) Signature Date If client is under 18: Parent or Legal Guardian Date
Appears in 1 contract
Samples: Client Services Agreement