Common Contracts

1 similar Psychologist-Client Services Agreement contracts

ADDENDUM TO PSYCHOLOGIST-CLIENT SERVICES AGREEMENT
Psychologist-Client Services Agreement • February 18th, 2008

Patients between 12 and 18 years of age who are not emancipated may consent to psychological services subject to the involvement of their parents or guardian unless the psychologist determines that their involvement would be inappropriate. Specifically a patient over age 12 may consent to psychological services if he or she is mature enough to participate intelligently in such services, and the minor patient either would present a danger of serious physical or mental harm to him or herself or others without treatment, or is the alleged victim of incest or child abuse. In addition, patients over age 12 may consent to alcohol and drug treatment in some circumstances. In cases where the parent or guardian has sought medical care and counseling for the minor child’s drug or alcohol related problem, I am required to disclose such information to the parents or guardian even if the minor patient does not consent to such disclosure. Unemancipated patients under 18 years of age and their parent

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