Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy Sample Contracts
Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for PsychotherapyOffice Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy • August 14th, 2019
Contract Type FiledAugust 14th, 2019This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
Standard Contracts
Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for PsychotherapyOffice Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy • January 16th, 2023
Contract Type FiledJanuary 16th, 2023This form provides you, the client, or parent/guardian of a minor client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for PsychotherapyOffice Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy • July 29th, 2021
Contract Type FiledJuly 29th, 2021This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy for Kara Jasper Counseling (KJC)Office Policies & General Information Agreement for Psychotherapy Services and Informed Consent for Psychotherapy • October 18th, 2020
Contract Type FiledOctober 18th, 2020Where there is a reasonable suspicion of child, dependent, or elder abuse or neglect; where a client presents a danger to self, to others, to property, or is gravely disabled; or when a client's family members communicate to Kara Jasper, LPC that the client presents a danger to others.