Incapacity or Death. You acknowledge that, in the event the undersigned therapist becomes incapacitated or dies, it will become necessary for another therapist to take possession of my file and records. By signing this information and consent form, you give consent to allow another licensed mental health professional selected by the undersigned therapist to take possession of your file and records and provide you with copies upon request, or to deliver them to a therapist of your choice.
Appears in 4 contracts
Samples: Consent for Treatment of Minors, Consent for Treatment and Office Policies Agreement, Consent for Treatment of Minors
