Sessions. Your first session with your clinician will involve an evaluation of what problems appear most important to work on and what treatment needs you have. By the end of this first evaluation time, your clinician will give your their thoughts about your work together and what treatment they feel will be most helpful. This first session will evaluate your needs and determine if your clinician and the BHCTC is right for your treatment. This initial session will also help you to determine if you feel comfortable receiving treatment at the BHCTC. If you and your clinician choose to begin treatment together, you will be scheduled for treatment sessions at a length and frequency determined by you and you clinician. The goal of treatment is to get you feeling and functioning better as efficiently as possible and we therefore limit the total number of sessions to approximately 12 or three-months of weekly therapy sessions. (For a better understanding of BHCTC’s approach please read the “What is Cognitive Behavioral Therapy” handout in this packet). You will receive the best benefit from treatment if you come to your appointments regularly. If you must cancel an appointment, this Agreement represents your promise that you will do so at least 24 hours in advance of your scheduled time. If you do not cancel 24 hours in advance, the BHCTC will need to charge you for a missed session because your clinician will have reserved that treatment time for you and will be unable to use that time to see any other patient. A missed appointment cannot be billed to your insurance carrier, which means that you will be responsible for paying the BHCTC in full a $100 cancellation fee for the missed appointment. The BHCTC recognizes that emergencies or other unplanned events do arise that cannot be helped (flat tires, sick children, family emergencies), so this Agreement allows you to cancel one (1) appointment less than 24 hours in advance within any 6 month period without any charge to you. If you cancel more than that, you understand and agree that BHCTC can bill you $100 for each missed appointment. Please note that you may receive an automated appointment reminder phone call from SMG. This is a courtesy only and if you do not receive one for your appointment it does not represent a valid excuse for a missed appointment. We try very hard to accommodate our patients and to see them in a timely manner; however, there is often a waiting list for individuals seeking treatment due to a lack of available session times. Therefore, if you miss 4 appointments where you fail to give 24 hours cancellation notice or cancel 5 appointments within any 12 month period, even if appropriate notice has been given, you may be subject to dismissal from BHCTC. If you are dismissed, you are only eligible to reapply for treatment after 12-months has passed from the date of your dismissal. If you miss an appointment without contacting us, we will call and leave you a message about your missed appointment and ask you to call us back within 24hrs. If we do not hear from you within this time frame we will cancel any remaining appointments you have with us. You may contact us to reschedule if you are eligible to return to the center to continue your treatment. Many of our patients have been referred to us by their Summit Medical Group (SMG) physicians and/or other physicians not affiliated with SMG. We find that contacting these physicians about your treatment ensures that your overall care is uniform and effective. It is our position that notifying your treating physician about the treatment BHCT is providing to you, and having your physician give us background about your medical history, improves your overall treatment. If your physician is an SMG provider, by signing this, you are authorizing and permitting the BHCT to contact your physician by the method determined by BHCT (e.g., phone, letter). If you are an SMG patient, please note that although the BHCTC and SMG share an electronic health record system, your session notes—the notes written by your clinician that reflect the things you have discussed during your sessions—are not accessible by SMG physicians and personnel. SMG physicians will, however, have access to a list of medications the BHCTC prescribes. If your physician is not affiliated with SMG, the BHCTC may have you sign the Consent to Share Information Form to discuss your treatment with your provider. The BHCTC may also attempt to contact them by letter or phone stating that we have begun treatment with you. We will also ask them to contact us if they have any questions or concerns about your treatment. If there is any specific information you do not want your treating physician to know, please discuss this with your treating clinician.
Appears in 6 contracts
Samples: Patient Therapist Agreement, Patient Therapist Agreement, Patient Therapist Agreement
Sessions. Your first session with your clinician will involve an evaluation of what problems appear most important to work on and what treatment needs you have. By the end of this first evaluation time, your clinician will give your their thoughts about your work together and what treatment they feel will be most helpful. This first session will evaluate your needs and determine if your clinician and the BHCTC is right for your treatment. This initial session will also help you to determine if you feel comfortable receiving treatment at the BHCTC. If you and your clinician choose to begin treatment together, you will be scheduled for treatment sessions at a length and frequency determined by you and you clinician. The goal of treatment is to get you feeling and functioning better as efficiently as possible and we therefore limit the total number of sessions to approximately 12 or three-months of weekly therapy sessions. (For a better understanding of BHCTC’s approach please read the “What is Cognitive Behavioral Therapy” handout in this packet). You will receive the best benefit from treatment if you come to your appointments regularly. If you must cancel an appointment, this Agreement represents your promise that you will do so at least 24 hours in advance of your scheduled time. If you do not cancel 24 hours in advance, the BHCTC will need to charge you for a missed session because your clinician will have reserved that treatment time for you and will be unable to use that time to see any other patient. A missed appointment cannot be billed to your insurance carrier, which means that you will be responsible for paying the BHCTC in full a $100 cancellation fee for the missed appointment. The BHCTC recognizes that emergencies or other unplanned events do arise that cannot be helped (flat tires, sick children, family emergencies), so this Agreement allows you to cancel one (1) appointment less than 24 hours in advance within any 6 month period without any charge to you. If you cancel more than that, you understand and agree that BHCTC can bill you $100 for each missed appointment. Please note that you may receive an automated appointment reminder phone call from SMG. This is a courtesy only and if you do not receive one for your appointment it does not represent a valid excuse for a missed appointment. We try very hard to accommodate our patients and to see them in a timely manner; however, there is often a waiting list for individuals seeking treatment due to a lack of available session times. Therefore, if you miss 4 appointments where you fail to give 24 hours cancellation notice or cancel 5 appointments within any 12 month period, even if appropriate notice has been given, you may be subject to dismissal from BHCTC. If you are dismissed, you are only eligible to reapply for treatment after 12-months has passed from the date of your dismissal. If you miss an appointment without contacting us, we will call and leave you a message about your missed appointment and ask you to call us back within 24hrs. If we do not hear from you within this time frame we will cancel any remaining appointments you have with us. You may contact us to reschedule if you are eligible to return to the center to continue your treatment. Many of our patients have been referred to us by their Summit Medical Group (SMG) physicians and/or other physicians not affiliated with SMG. We find that contacting these physicians about your treatment ensures that your overall care is uniform and effective. It is our position that notifying your treating physician about the treatment BHCT is providing to you, and having your physician give us background about your medical history, improves your overall treatment. If your physician is an SMG provider, by signing this, you are authorizing and permitting the BHCT to contact your physician by the method determined by BHCT (e.g., phone, letter). If you are an SMG patient, please note that although the BHCTC and SMG share an electronic health record system, your session notes—the notes written by your clinician that reflect the things you have discussed during your sessions—are not accessible by SMG physicians and personnel. SMG physicians will, however, have access to a list of medications the BHCTC prescribes. If your physician is not affiliated with SMG, the BHCTC may have you sign the Consent to Share Information Form to discuss your treatment with your provider. The BHCTC may also attempt to contact them by letter or phone stating that we have begun treatment with you. We will also ask them to contact us if they have any questions or concerns about your treatment. If there is any specific information you do not want your treating physician to know, please discuss this with your treating clinician.
Appears in 1 contract
Samples: Patient Therapist Agreement
Sessions. Your first session with your clinician will involve an evaluation of what problems appear most important to work on and what treatment needs you have. By the end of this first evaluation time, your clinician will give your their thoughts about your work together and what treatment they feel will be most helpful. This first session will evaluate your needs and determine if your clinician and the BHCTC is right for your treatment. This initial session will also help you to determine if you feel comfortable receiving treatment at the BHCTC. If you and your clinician choose to begin treatment together, you will be scheduled for treatment sessions at a length and frequency determined by you and you clinician. The goal of treatment is to get you feeling and functioning better as efficiently as possible and we therefore limit the total number of sessions to approximately 12 or three-months of weekly therapy sessions. (For a better understanding of BHCTC’s approach please read the “What is Cognitive Behavioral Therapy” handout in this packet). You will receive the best benefit from treatment if you come to your appointments regularly. If you must cancel an appointment, this Agreement represents your promise that you will do so at least 24 hours in advance of your scheduled time. If you do not cancel 24 hours in advance, the BHCTC will need to charge you for a missed session because your clinician will have reserved that treatment time for you and will be unable to use that time to see any other patient. A missed appointment cancan not be billed to your insurance carrier, which means that you will be responsible for paying the BHCTC in full a $100 cancellation fee for the missed appointment. The BHCTC recognizes that emergencies or other unplanned events do arise that cancan not be helped (flat tires, sick children, family emergencies), so this Agreement allows you to cancel one (1) appointment less than 24 hours in advance within any 6 month period without any charge to you. If you cancel more than that, you understand and agree that BHCTC can bill you $100 for each missed appointment. Please note that you may receive an automated appointment reminder phone call from SMG. This is a courtesy only and if you do not receive one for your appointment it does not represent a valid excuse for a missed appointment. We try very hard to accommodate our patients and to see them in a timely manner; however, there is often a waiting list for individuals seeking treatment due to a lack of available session times. Therefore, if you miss 4 appointments where you fail to give 24 hours cancellation notice or cancel 5 appointments within any 12 month period, even if appropriate notice has been given, you may be subject to dismissal from BHCTC. If you are dismissed, you are only eligible to reapply for treatment after 12-months has passed from the date of your dismissal. If you miss an appointment without contacting us, we will call and leave you a message about your missed appointment and ask you to call us back within 24hrs. If we do not hear from you within this time frame we will cancel any remaining appointments you have with us. You may contact us to reschedule if you are eligible to return to the center to continue your treatment. Many of our patients have been referred to us by their Summit Medical Group (SMG) physicians and/or other physicians not affiliated with SMG. We find that contacting these physicians about your treatment ensures that your overall care is uniform and effective. It is our position that notifying your treating physician about the treatment BHCT is providing to you, and having your physician give us background about your medical history, improves your overall treatment. If your physician is an SMG provider, by signing this, you are authorizing and permitting the BHCT to contact your physician by the method determined by BHCT (e.g., phone, letter). If you are an SMG patient, please note that although the BHCTC and SMG share an electronic health record system, your session notes—the notes written by your clinician that reflect the things you have discussed during your sessions—are not accessible by SMG physicians and personnel. SMG physicians will, however, have access to a list of medications the BHCTC prescribes. If your physician is not affiliated with SMG, the BHCTC may have you sign the Consent to Share Information Form to discuss your treatment with your provider. The BHCTC may also attempt to contact them by letter or phone stating that we have begun treatment with you. We will also ask them to contact us if they have any questions or concerns about your treatment. If there is any specific information you do not want your treating physician to know, please discuss this with your treating clinician.
Appears in 1 contract
Samples: Patient Therapist Agreement
Sessions. Your first session with your clinician will involve an evaluation of what problems appear most important to work on and what treatment needs you have. By the end of this first evaluation time, your clinician will give your their thoughts about your work together and what treatment they feel will be most helpful. This first session will evaluate your needs and determine if your clinician and the BHCTC is right for your treatment. This initial session will also help you to determine if you feel comfortable receiving treatment at the BHCTC. If you and your clinician choose to begin treatment together, you will be scheduled for treatment sessions at a length and frequency determined by you and you clinician. The goal of treatment is to get you feeling and functioning better as efficiently as possible and we therefore limit the total number of sessions to approximately 12 or three-months of weekly therapy sessions. (For a better understanding of BHCTC’s approach please read the “What is Cognitive Behavioral Therapy” handout in this packet). You will receive the best benefit from treatment if you come to your appointments regularly. If you must cancel an appointment, this Agreement represents your promise that you will do so at least 24 hours in advance of your scheduled time. If you do not cancel 24 hours in advance, the BHCTC will need to charge you for a missed session because your clinician will have reserved that treatment time for you and will be unable to use that time to see any other patient. A missed appointment cannot be billed to your insurance carrier, which means that you will be responsible for paying the BHCTC in full a $100 cancellation fee for the missed appointment. The BHCTC recognizes that emergencies or other unplanned events do arise that cannot be helped (flat tires, sick children, family emergencies), so this Agreement allows you to cancel one (1) appointment less than 24 hours in advance within any 6 month period without any charge to you. If you cancel more than that, you understand and agree that BHCTC can bill you $100 for each missed appointment. Please note that you may receive an automated appointment reminder phone call from SMG. This is a courtesy only and if you do not receive one for your appointment it does not represent a valid excuse for a missed appointment. We try very hard to accommodate our patients and to see them in a timely manner; however, there is often a waiting list for individuals seeking treatment due to a lack of available session times. Therefore, if you miss 4 appointments where you fail to give 24 hours cancellation notice or cancel 5 appointments within any 12 month period, even if appropriate notice has been given, you may be subject to dismissal from BHCTC. If you are dismissed, you are only eligible to reapply for treatment after 12-months has passed from the date of your dismissal. If you miss an appointment without contacting us, we will call and leave you a message about your missed appointment and ask you to call us back within 24hrs. If we do not hear from you within this time frame we will cancel any remaining appointments you have with us. You may contact us to reschedule if you are eligible to return to the center to continue your treatment. Many of our patients have been referred to us by their Summit Medical Group (SMG) physicians and/or other physicians not affiliated with SMG. We find that contacting these physicians about your treatment ensures that your overall care is uniform and effective. It is our position that notifying your treating physician about the treatment BHCT is providing to you, and having your physician give us background about your medical history, improves your overall treatment. If your physician is an SMG provider, by signing this, you are authorizing and permitting the BHCT to contact your physician by the method determined by BHCT (e.g., phone, letter). If you are an SMG patient, please note that although the BHCTC and SMG share an electronic health record system, your session notes—the notes written by your clinician that reflect the things you have discussed during your sessions—are not accessible by SMG physicians and personnel. SMG physicians will, however, have access to a list of medications the BHCTC prescribes. If your physician is not affiliated with SMG, the BHCTC may have you sign the Consent to Share Information Form to discuss your treatment with your provider. The BHCTC may also attempt to contact them by letter or phone stating that we have begun treatment with you. We will also ask them to contact us if they have any questions or concerns about your treatment. If there is any specific information you do not want your treating physician to know, please discuss this with your treating clinician.
Appears in 1 contract
Samples: Patient Therapist Agreement
