Common use of Treatment History Clause in Contracts

Treatment History. Document the history of all treatment past and present: a. Behavioral health treatment i. List past and present treatment youth has participated in: Dates (or estimation) of Estimated helpfulmess of treatment and reason for Type of treatment Agency/provider termination ii. Barriers to behavioral health treatment: Be specific about challenges that impact(ed) treatment: transportation, finances, negative rapport, lack of involvement, other disruptions, etc. b. Medication therapies i. List medications tried in the past: Medication Dosage Frequency Youth’s age and response to medication Reason for changing or terminating medication ii. Barriers to behavioral health treatment: Be specific about challenges that impact(ed) treatment: transportation, finances, negative rapport, lack of involvement, other disruptions, etc. iii. List current medications: iv. Barriers to behavioral health treatment: Be specific about challenges that impact(ed) treatment: transportation, finances, negative rapport, lack of involvement, other disruptions, etc. c. Substance abuse therapies List past and present substance abuse treatment youth has participated in: Type of treatment Agency/provider

Appears in 7 contracts

Samples: Patient Therapist Agreement, Patient Therapist Agreement, Patient Therapist Agreement

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