Common use of Litigation Limitation Clause in Contracts

Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xxxxx Xxxx to testify in court or at any other proceeding, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx consults regularly with other professionals regarding his/her clients; however, the client’s name or other identifying information is never mentioned. The client’s identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx will release information to any agency/person you specify unless she concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: If you need to contact Xx. Xxxx between sessions, please leave a message on the answering machine (000)000-0000 and your call will be returned as soon as possible. Xx. Xxxx checks her messages a few times a day (but never during the night time), unless she is out of town. Xx. Xxxx checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 or go to your nearest emergency room. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $170 per 50 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. Xxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.

Appears in 1 contract

Samples: Office Policies

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Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xxxxx Xxxx to testify in court or at any other proceeding, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx consults regularly with other professionals regarding his/her clients; however, the client’s name or other identifying information is never mentioned. The client’s identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx will release information to any agency/person you specify unless she concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: If you need to contact Xx. Xxxx between sessions, please leave a message on the answering machine (000)000-0000 and your call will be returned as soon as possible. Xx. Xxxx checks her messages a few times a day (but never during the night time), unless she is out of town. Xx. Xxxx checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 or go to your nearest emergency room. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $170 175 per 50 55 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. Xxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.

Appears in 1 contract

Samples: rose-counseling.com

Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xx. Xxxxx Xxxx to testify in court or at any other proceeding, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx Xxxxx consults regularly with other professionals regarding his/her his clients; however, the client’s 's name or other identifying information is never mentioned. The client’s 's identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx Xxxxx will release information to any agency/person you specify unless she Xx. Xxxxx concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: If you need to contact Xx. Xxxx Xxxxx between sessions, please leave a message on the answering machine with his voicemail (000)000000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxx Xxxxx checks her his messages a few times a day (but never during the night time)day, unless she he is out of town. Xx. Xxxx checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 000-000-0000 the Police (911), or go to your nearest emergency roomOrange County Mental Health at 714-896- 7566. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $170 125 or their respective co-payment per 50 45 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. Xxxx Xxxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx Xxxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. MEDIATION & ARBITRATION: All disputes arising out of or in relation to this agreement to provide psychotherapy services shall first be referred to mediation, before, and as a pre- condition of, the initiation of arbitration. The mediator shall be a neutral third party chosen by agreement of Xx. Xxxxx and client(s). The cost of such mediation, if any, shall be split equally, unless otherwise agreed. In the event that mediation is unsuccessful, any unresolved controversy related to this agreement should be submitted to and settled by binding arbitration in Orange County, California in accordance with the rules of the American Arbitration Association which are in effect at the time the demand for arbitration is filed. Notwithstanding the foregoing, in the event that your account is overdue (unpaid) and there is no agreement on a payment plan, Xx. Xxxxx can use legal means (court, collection agency, etc.) to obtain payment. The prevailing party in arbitration or collection proceedings shall be entitled to recover a reasonable sum for attorneys' fees. In the case of arbitration, the arbitrator will determine that sum. THE PROCESS OF THERAPY/EVALUATION: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits; however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings and/or behavior. Xx. Xxxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in your experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc. or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations that can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xx. Xxxxx is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. These approaches include behavioral, cognitive-behavioral, psychodynamic, existential, system/family, developmental (adult, child, family), or psycho-educational. Discussion of Treatment Plan: Within a reasonable period of time after the initiation of treatment, Xx. Xxxxx will discuss with you (client) his/her working understanding of the problem, treatment plan, therapeutic objectives, and his/her view of the possible outcomes of treatment. If you have any unanswered questions about any of the procedures used in the course of your therapy, their possible risks, Xx. Xxxxx'x expertise in employing them, or about the treatment plan, please ask and you will be answered fully. You also have the right to ask about other treatments for your condition and their risks and benefits. If you could benefit from any treatment that Xx. Xxxxx does not provide, he has an ethical obligation to assist you in obtaining those treatments.

Appears in 1 contract

Samples: www.drsoucy.org

Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which that may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to to, divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xxxxx Xxxx file suit against Blue Ridge Counseling, LLC due to testify the content of legally required testimony in court or at any other proceeding. Consultation Xxx Xxxxx, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx MA, LPC, NCC consults regularly with other professionals regarding his/her his clients; however, the client’s name or other identifying information is never mentioned. The client’s identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx Blue Ridge Counseling, LLC will release information to any agency/person you specify unless she Xxx Xxxxx, MA, LPC, NCC concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: Telephone and emergency procedures If you need to contact Xx. Xxxx Xxx Xxxxx, MA, LPC, NCC between sessions, please leave a message on the answering machine at (000)000000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxx Xxx Xxxxx, MA, LPC, NCC checks his/her messages a few times a day (but never during the night timenighttime), unless she s/he is out of town. Xx. Xxxx Xxx Xxxxx, MA, LPC, NCC checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 Xxx Xxxxx, MA, LPC, NCC at (000) 000-0000, emergency services (911), or go to your nearest emergency roomthe Georgia Crisis Access Line, (000) 000-0000. PAYMENTS & INSURANCE REIMBURSEMENT: Payments and insurance reimbursement Clients are expected to pay the standard fee of $170 85.00 per 50 55-minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. and so forth, will be charged at the same rate, unless indicated and agreed otherwise. Blue Ridge Counseling, LLC can file insurance for you if desired as long as Xxx Xxxxx, MA, LPC, NCC is listed as a provider. In the event Xxx Xxxxx, MA, LPC, NCC is not listed as a provider under your insurance plan, Blue Ridge Counseling, LLC can provide documentation to help you receive reimbursement; however, Blue Ridge Counseling, LLC will not be held liable for claims that are not accepted by your insurance plan. Clients are expected to verify coverage prior to engaging in counseling with Blue Ridge Counseling, LLC. Please notify Xx. Xxxx Xxx Xxxxx, MA, LPC, NCC if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, section “Health Insurance & and Confidentiality of Records, ,” you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which problems that are the focus of psychotherapy, psychotherapy are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. Mediation and arbitration All disputes arising out of or in relation to this agreement to provide psychotherapy services shall first be referred to mediation before, and as a precondition of, the initiation of arbitration. The mediator shall be a neutral third party chosen by agreement of Blue Ridge Counseling, LLC and client(s). The cost of such mediation, if any, shall be split equally, unless otherwise agreed. In the event that mediation is unsuccessful, any unresolved controversy related to this agreement should be submitted to and settled by binding arbitration in Xxxxxx County, Georgia in accordance with the rules of the American Arbitration Association that are in effect at the time the demand for arbitration is filed. Notwithstanding the foregoing, in the event that your account is overdue (unpaid) and there is no agreement on a payment plan, Blue Ridge Counseling, LLC can use legal means (court, collection agency, etc.) to obtain payment. The prevailing party in arbitration or collection proceedings shall be entitled to recover a reasonable sum for attorneys’ fees. In the case of arbitration, the arbitrator will determine that sum. The process of therapy/evaluation Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xxx Xxxxx, MA, LPC, NCC will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in your experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, and so forth, or experiencing anxiety, depression, insomnia, and so forth. Xxx Xxxxx, MA, LPC, NCC may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations that can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. During the course of therapy, Xxx Xxxxx, MA, LPC, NCC is likely to draw on various psychological approaches according, in part, to the problem that is being treated and his/her assessment of what will best benefit you. These approaches include Behavioral Therapy, Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Family Systems, or Psychoeducation. Discussion of treatment plan Within a reasonable period of time after the initiation of treatment, Xxx Xxxxx, MA, LPC, NCC will discuss with you (client) his working understanding of the problem, treatment plan, therapeutic objectives, and view of the possible outcomes of treatment. If you have any unanswered questions about any of the procedures used in the course of your therapy, their possible risks, Xxx Xxxxx, MA, LPC, NCC’s expertise in employing them, or about the treatment plan, please ask and you will be answered fully. You also have the right to ask about other treatments for your condition and their risks and benefits. If you could benefit from any treatment that Xxx Xxxxx, MA, LPC, NCC does not provide, he has an ethical obligation to assist you in obtaining those treatments.

Appears in 1 contract

Samples: blueridgecounseling.org

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Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xxxxx Xxxx Xx. Xxxxxxxx to testify in court or at any other proceeding, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx Xxxxxxxx consults regularly with other professionals regarding his/her clients; however, the client’s name or other identifying information is never mentioned. The client’s identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx Xxxxxxxx will release information to any agency/person you specify unless she Xx. Xxxxxxxx concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: If you need to contact Xx. Xxxx Xxxxxxxx between sessions, please leave a message on the voice mail answering machine service (000)000-0000 and your call will be returned as soon as possible. Xx. Xxxx Xxxxxxxx checks her his messages a few times a day (but never during the night time)day, unless she he is out of town. Xx. Xxxx checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 Xx. Xxxxxxxx at (000)000-0000 the 24-hour crisis line (000)000-0000, the Police (911), or the 24-hour Psych. Emergency at Loma Xxxxx Behavioral Medicine Center (000)000-0000 or go to your the nearest emergency room. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $170 140.00 per 50 45 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. Xxxx Xxxxxxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx Xxxxxxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.

Appears in 1 contract

Samples: www.brucefountain.com

Litigation Limitation. Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your attorney, nor anyone else acting on your behalf will call on Xx. Xxxxx Xxxx to testify in court or at any other proceeding, nor will a disclosure of the psychotherapy records be requested. Consultation: Xx. Xxxx Xxxxx consults regularly with other professionals regarding his/her his clients; however, the client’s name or other identifying information is never mentioned. The client’s identity remains completely anonymous, and confidentiality is fully maintained. * Considering all of the above exclusions, if it is still appropriate, upon your request, Xx. Xxxx Xxxxx will release information to any agency/person you specify unless she Xx. Xxxxx concludes that releasing such information might be harmful in any way. TELEPHONE & EMERGENCY PROCEDURES: If you need to contact Xx. Xxxx Xxxxx between sessions, please leave a message on the answering machine with his voicemail (000)000000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxx Xxxxx checks her his messages a few times a day (but never during the night time)day, unless she he is out of town. Xx. Xxxx checks the messages less frequently on weekends and holidays. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call 911 000-000-0000 the Police (911), or go to your nearest emergency roomOrange County Mental Health at 714-896- 7566. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $170 125 or their respective co-payment per 50 45 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. Xxxx Xxxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxx Xxxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.

Appears in 1 contract

Samples: www.drsoucy.org

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