{"component": "clause", "props": {"groups": [{"samples": [{"hash": "fDnltwWrgiU", "uri": "/contracts/fDnltwWrgiU#clinician", "label": "Independent Contractor Agreement", "score": 28.2413529506, "published": true}, {"hash": "a3CTWYPhVzX", "uri": "/contracts/a3CTWYPhVzX#clinician", "label": "Independent Contractor Agreement", "score": 28.2413529506, "published": true}, {"hash": "6NN7yh6LWww", "uri": "/contracts/6NN7yh6LWww#clinician", "label": "Independent Contractor Agreement", "score": 28.2413529506, "published": true}], "size": 5, "snippet": "SIGNED: DATE:", "snippet_links": [], "hash": "160e18fd361dd3df63552545990d4b02", "id": 1}, {"samples": [{"hash": "lCkd7kEwHzi", "uri": "/contracts/lCkd7kEwHzi#clinician", "label": "Transitional Age Youth Full Service Partnership/Wraparound Services", "score": 33.056382524, "published": true}, {"hash": "frOPQIHceGd", "uri": "/contracts/frOPQIHceGd#clinician", "label": "Contract for Children\u2019s Full Service Partnership/Wraparound Services", "score": 32.7611116467, "published": true}, {"hash": "70UWmA8sAkz", "uri": "/contracts/70UWmA8sAkz#clinician", "label": "Contract for Children and Transitional Age Youth Full Service Partnership/Wraparound Services", "score": 31.2629196864, "published": true}], "size": 5, "snippet": "I/II shall provide one hundred (100) DSH per month or one thousand two hundred (1,200) DSH per year.", "snippet_links": [{"key": "provide-one", "type": "clause", "offset": [11, 22]}, {"key": "per-month", "type": "clause", "offset": [41, 50]}, {"key": "per-year", "type": "definition", "offset": [91, 99]}], "hash": "6f24acdee8e304296be026292c68bc03", "id": 2}, {"samples": [{"hash": "lBcITJyACGr", "uri": "/contracts/lBcITJyACGr#clinician", "label": "Renewal Agreement", "score": 32.8298459077, "published": true}, {"hash": "dge26mYN18t", "uri": "/contracts/dge26mYN18t#clinician", "label": "Renewal Agreement", "score": 26.0581793292, "published": true}, {"hash": "f9vdhMBby4A", "uri": "/contracts/f9vdhMBby4A#clinician", "label": "Behavioral Health Services Agreement", "score": 25.6858316222, "published": true}], "size": 4, "snippet": "The Contractor shall provide trained employees who shall perform behavioral health services for the Customer. GENERAL REQUIREMENTS:\n1. Managerial: Contractor shall furnish management; manpower to maintain full services at all times.\n2. Language: Clinicians on the behavioral health services force must be able to speak, write and understand effectively English.", "snippet_links": [{"key": "the-contractor-shall-provide", "type": "clause", "offset": [0, 28]}, {"key": "employees-who", "type": "clause", "offset": [37, 50]}, {"key": "for-the-customer", "type": "clause", "offset": [92, 108]}, {"key": "general-requirements", "type": "definition", "offset": [110, 130]}, {"key": "to-maintain", "type": "clause", "offset": [193, 204]}, {"key": "at-all-times", "type": "definition", "offset": [219, 231]}], "hash": "15633bcecbe04c2711712af0a134a61f", "id": 3}, {"samples": [{"hash": "hV6rAFd35p5", "uri": "/contracts/hV6rAFd35p5#clinician", "label": "Client Services Agreement", "score": 29.4895925671, "published": true}, {"hash": "2JQnxJpZfKa", "uri": "/contracts/2JQnxJpZfKa#clinician", "label": "Client Services Agreement", "score": 24.8028747433, "published": true}], "size": 4, "snippet": "You may contact your graduate clinician or their supervisor through email at \u2587\u2587\u2587\u2587\u2587\u2587\u2587@\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587\u2587 or by phone at \u2587\u2587\u2587-\u2587\u2587\u2587-\u2587\u2587\u2587\u2587. Due to your graduate clinician\u2019s work and class schedule, the graduate clinician will often not be immediately available by email or phone. Communications with graduate clinicians may change based on University operations. When AUPSC operations are remote, you may leave a message on the AUPSC answering machine but it may not be returned immediately. Email is checked during business hours Monday through Friday, except during Auburn University holidays. At other times, you can send an email and your graduate clinician will reach out as soon as possible. If you are difficult to reach, please inform your graduate clinician of times when you will be available. AUPSC is not available for emergent services. In case of an emergency that occurs when AUPSC is closed (from 7 pm until 8 am Monday through Thursday and from 5 pm Friday until 8 am Monday) please call the nearest emergency room and ask for the on call psychiatric nurse. The number for the East Alabama Medical Center is (\u2587\u2587\u2587) \u2587\u2587\u2587-\u2587\u2587\u2587\u2587. Because AUPSC is a university clinic, staffed by graduate student clinicians, there are times when your graduate clinician might not be available for an extended time, such as during a school break. These breaks occur between semesters and typically last for one week, except for the winter holiday, which lasts for two weeks. If you or your graduate clinician determines that you need continuous services that cannot be provided at AUPSC, your graduate clinician will provide you with a referral to an agency or therapist that can provide the services you need. The law protects the privacy of all communications between a client and a psychologist. In most situations, your graduate clinician and/or the clinical supervisor can only release information about your treatment to others if you sign a written authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows: \u2022 Because AUPSC is a training clinic, and your therapist will be a graduate clinician, your graduate clinician will regularly consult with a staffed clinical supervisor(s) and other graduate students about the therapy services provided to you. During a consultation, your graduate clinician will make every effort to avoid revealing your identity. Your graduate clinician\u2019s supervisor and all fellow graduate clinicians are also legally bound to keep the information confidential. If you don\u2019t object, your graduate clinician will not tell you about these consultations unless the clinician feels that it is important to your work together. Your graduate clinician will note all consultations in your Clinical Record (which is called personal health information or \u201cPHI\u201d in the AUPSC Notice of Psychologist\u2019s Policies and Practices to Protect the Privacy of Your Health Information). \u2022 You should be aware that many graduate clinicians and other mental health professionals practice at AUPSC and that AUPSC employs administrative staff. In most cases, your graduate clinician will need to share protected information, such as your name and the type of services you are receiving with these individuals for both clinical and administrative purposes, such as scheduling, billing, and quality assurance. All of the mental health professionals are bound by the same rules of confidentiality. All staff members have been given training about protecting your privacy and have agreed not to release any information outside of the practice without the permission of a professional staff member. \u2022 If a client threatens to self harm, your graduate clinician and/or your graduate clinician\u2019s supervisor may be obligated to seek hospitalization for the client, or to contact family members or others who can help provide protection. There are some situations where your graduate clinician and/or your graduate clinician\u2019s supervisor are permitted or required to disclose information without either your consent or authorization: \u2022 If you are involved in a court proceeding and a request is made for information concerning your diagnosis and treatment, such information is protected by the psychologist-client privilege law. AUPSC cannot provide any information without your (or your legal representative\u2019s) written authorization or a court order. If you are involved or contemplating litigation, you should consult with your attorney to determine whether a court would be likely to order AUPSC to disclose information. \u2022 If a government agency is requesting the information for health oversight activities, AUPSC is required to provide it for them. \u2022 If a client files a complaint or lawsuit against AUPSC, a graduate clinician, or a supervisor at AUPSC, AUPSC, the graduate clinician, or the supervisor may disclose relevant information regarding that client in order to defend AUPSC, the graduate clinician, or the supervisor. \u2022 If a client files a worker\u2019s compensation claim, AUPSC may disclose information relevant to that claim to the client\u2019s employer or the insurer. There are some situations in which AUPSC is legally obligated to take actions, which AUPSC believes are necessary to attempt to protect others from harm, and AUPSC may have to reveal some information about a client\u2019s treatment. \u2022 If your graduate clinician or your graduate clinician\u2019s supervisor knows or suspects that a child under the age of 18 has been abused or neglected, the law requires that clinician file a report with the appropriate governmental agency, usually the Alabama Department of Human Resources. Once such a report is filed, AUPSC may be required to provide additional information. \u2022 If your graduate clinician or your graduate clinician\u2019s supervisor knows that an elderly or disabled adult has been abused, neglected, exploited, or sexually or emotionally abused, the law requires that the clinician file a report with the appropriate governmental agency, usually the Alabama Department of Human Resources. Once such a report is filed, AUPSC may be required to provide additional information. \u2022 If your graduate clinician or your graduate clinician\u2019s supervisor believe that disclosing information about you is necessary to prevent or lessen a serious and imminent threat to the health and safety of an identifiable person(s), your graduate clinician or your graduate clinician\u2019s supervisor may disclose that information, but only to those reasonably able to prevent or lessen the threat. If one of these situations arises, your graduate clinician or your graduate clinician\u2019s supervisor will make every effort to fully discuss it with you before taking any action, and the clinician will try to limit disclosure to what is necessary. While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is important that we discuss any questions or concerns that you may have now or in the future. The laws governing confidentiality can be quite complex. In situations where specific advice is required, formal legal advice may be needed. You should be aware that, pursuant to HIPAA, AUPSC keeps Protected Health Information about you in one professional record, which is referred to as your Clinical Record. It includes information about your reasons for seeking therapy, a description of the ways in which your problem impacts your life, your diagnosis, the goals that you and your graduate clinician set for treatment, your progress towards those goals, your medical and social history, your treatment history, any past treatment records that AUPSC receives from other providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. If you provide AUPSC with an appropriate written request, you have the right to examine and/or receive a copy of your records, except in unusual circumstances that involve danger to you or others. In those situations, you have a right to have your record sent to another mental health provider. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For this reason, AUPSC recommends that you initially review them in the presence of your graduate clinician as well as the staffed supervisor or have them forwarded to another mental health professional so you can discuss the contents. You will be charged the same hourly rate you pay for a therapy session for this review meeting. In most situations, AUPSC is allowed to charge a fee of $20 to cover the expense of accessing the file, copying the materials, and forwarding them to the mental health professional of your choice. The exceptions to this policy are contained in the accompanied Notice Form. If \u2587\u2587\u2587\u2587\u2587 refuses your request for access to your records, you have a right of review, which can be discussed with you upon request. In addition to keeping records of therapy in your Clinical Record, sessions at AUPSC, whether in person or via telehealth, are recorded for the purposes of supervision and clinical service delivery. Direct observations of in person and telehealth sessions by supervisors may also take place. However, this is not done without first discussing the observation with the client or the client\u2019s caregivers recordings and the information on them will be afforded all of the protection that is given a Clinical Record. Certain forms are routinely completed by all clients at AUPSC and their caregivers. One purpose of these forms is to help graduate clinicians make informed decisions regarding evaluations and treatment. The forms are also used for research purposes. Ongoing research is important so that we can continue to improve the way we provide services at AUPSC. Biographical and psychological data are available to graduate students for research purposes. However, to protect the privacy of our clients, all identifying names, places, and events are removed when information from AUPSC records are used in any research project. HIPAA provides you with the following rights with regard to your Clinical Record and disclosures of Protected Health Information: requesting that your graduate clinician amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclosures of Protected Health Information that you have neither consented to nor authorized; determining the location to which protected information disclosures are sent; having any complaints you make about AUPSC policies and procedures recorded in your records; and the right to a copy of this Agreement, the accompanied Notice Form, and AUPSC privacy policies and procedures. Your graduate clinician or other AUPSC representative will be happy to discuss any of these rights with you. Clients under 14 years of age, who are not emancipated, and their caregiver(s), should be aware that the law may allow caregivers to examine their child\u2019s treatment records unless the child\u2019s graduate clinician or the child\u2019s graduate clinician\u2019s supervisor decides that such access is likely to injure the child, or the child\u2019s graduate clinician, the child, and the child\u2019s caregiver(s) agree otherwise. Because privacy in psychotherapy is often crucial to successful progress, particularly with teenagers, it is sometimes AUPSC policy to request an agreement from caregiver(s) that they consent to give up their access to their child\u2019s records. If they agree, during treatment, the graduate clinician will provide them only with general information about the progress of the child\u2019s treatment, and the client\u2019s attendance at scheduled sessions. The graduate clinician will also provide caregivers with a summary of their child\u2019s treatment when it is complete. Any other communication will require the child\u2019s authorization, unless the graduate clinician feels that the child is in danger or is a danger to someone else, in which case, the graduate clinician will notify the caregivers of the clinician\u2019s concern. Before giving caregiver(s) any information, the graduate clinician will discuss the matter with the child, if possible, and do the clinician\u2019s best to handle any objections the child may have. This section contains important information focusing on doing psychotherapy using the phone or video conferencing through the Internet at AUPSC. 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