As a client, when you enter a therapist-client professional relationship, you have certain rights.
\, Aaisha Felder , will do my best to honor vour rights and give you the best treatment possible. You, as a client, have the following rights. To:
be an active participant in decisions regarding your treatment and the scope of treatment
be informed of where to access emergency contact information
attention if the practice does not offer these
services
be informed of the practice's policy for financial responsibility
express grievances and concerns regarding treatment
receive truthful communication from your therapist
be assured that your therapist is practicing within their scope of experience, license, and
education
receive services, including evaluations and treatments, within a reasonable time frame
be treated and receive services in the absence of bias regarding age, race, religion, gender, national origin, or sexual preference
be treated courteously by all professionals within the practice
know that all professionals involved in your case maintain confidentiality
have all professionals adhere to the ethical standards of the professional organizations to which they are licensed and affiliated
terminate treatment or request a change of service provider
Do you understand your rights as described above?
If so, please sign and date below
