Downloadable Forms for Counseling Services at
Family Counseling Center of the CSRA, Inc.
Agreement:
This Agreement shall be interpreted only in accordance with the laws of the State of Georgia (excluding any rules governing choice of laws), and any legal proceeding associated with this Agreement will occur exclusively in the courts located in Martinez, Georgia.
Privacy Policy:
According to mental health licensing statutes, the law protects the privacy of all communications between a client and practitioner. The Family Counseling Center of the CSRA, Inc is in compliance with the requirements of HIPPA. Confidentiality is taken seriously and discussing or releasing your information to any individual, agency, or corporation except if such release is requested by a signed authorization form; or if a client indicates intent to do harm to her/himself or others.
Limits of Confidentiality:
There are some situations in which practitioners are legally and ethically obligated to take actions they believe may be necessary to protect a client or others from harm. If such a situation arises, our agency will make every effort to fully discuss the issue with the client before taking any action and will limit disclosure to only what is necessary.
This Agreement shall be interpreted only in accordance with the laws of the State of Georgia (excluding any rules governing choice of laws), and any legal proceeding associated with this Agreement will occur exclusively in the courts located in Martinez, Georgia.
Privacy Policy:
According to mental health licensing statutes, the law protects the privacy of all communications between a client and practitioner. The Family Counseling Center of the CSRA, Inc is in compliance with the requirements of HIPPA. Confidentiality is taken seriously and discussing or releasing your information to any individual, agency, or corporation except if such release is requested by a signed authorization form; or if a client indicates intent to do harm to her/himself or others.
Limits of Confidentiality:
There are some situations in which practitioners are legally and ethically obligated to take actions they believe may be necessary to protect a client or others from harm. If such a situation arises, our agency will make every effort to fully discuss the issue with the client before taking any action and will limit disclosure to only what is necessary.
| notice_of_privacy_practice__2_.pdf |
| consent_for_treatment_3.pdf |
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