Description
The Patient Intake and Consent Agreement for Mental Health Professionals is a comprehensive legal agreement between the patient and mental health professional’s company designed to protect the mental health professional’s license and company.
This is the agreement that you give a patient/client to review and sign in order to govern your relationship as a professional with the patient/client. This protects you as a professional and establishes clear boundaries for communications, including using distance therapy, or “telemedicine”. Topics include:
- Mental Health Services
- Appointments
- Number of Visits
- Length of Visits
- Groups
- Relationship
- Goals, Purposes, and Techniques of Therapy
- Cancellations
- Payment for Services
- Confidentiality
- Duty to Warn
- Mandated Reporting
- Contact Information
- Risks of Therapy
- After-Hours Emergencies
- Contacting Your Healthcare Professional
- E-Mail and Text Messages
- Social Media
- Healthcare Professional’s Incapacity or Death
- Marital or Joint Therapy
- Audio and Video Recordings
- Defamation
- Cooperation of Client
- Distance Therapy
- Identity Verification
- Privacy and Security of Communications
- Risks Associated With Distance Therapy
- Communication Interruptions
- Consent to Treatment Using Distance Therapy
- Conflicts of Interest
- Legal
- Consent to Treatment
- Parental Waiver of Right to Child’s Records [If children are involved]
