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Center for Ethical Practice, Inc.
Index of Forms & Resources

On This Site:

1. INFORMED CONSENT - ETHICAL STANDARDS + CHECKLISTS
 

A. Ethical Obligations About Informed Consent:

  CHART: Counselors, Psychologists, Social Workers (referencing Ethics Codes)
Selected Excerpts: Counselors (from ACA Code of Ethics)
Selected Excerpts: Psychologists (from APA Code of Ethics)
Selected Excerpts: Social Workers from NASW Code of Ethics)
 B. Summaries:
 Informed Consent Discussions in Couple & Family & Child Therapy
Informed Consent Discussions in Group Therapy
 C. Checklists:
  

Checklist - Informed Consent for Couple, Family or Child+Parent
Checklist - Informed Consent for M.H. Services in School Setting (Student; Parent)

 

 

2. INFORMED CONSENT - SAMPLE FORMS & CONTRACTS

A. Informed Consent for Psychotherapy - Adolescent (Sherry Kraft, Ph.D.)

B. Informed Consent for Psychotherapy - Couple (John T. Schroll, Ph.D.)

C. Informed Consent for Child Therapy - Separated/Divorced Parents (Bernadette Landolf, Ph.D.)

D. Informed Consent Re: Limits of Confidentiality - HIPAA "Notice of Privacy Practices"

E. ["Notice of Privacy Practices" with Links to Text of Relevant Va. Laws/Regulations ]

F. Informed Consent For Clinical Consultation (Consultant-Consultee Contract)

 

 

3. INFORMED CONSENT - RIGHTS OF VIRGINIA MINORS & PARENTS

A. Rights of Virginia Minors Under HIPAA - (Legal Opinion re: Consent and Disclosure)

B. Rights of Separated/Divorced Parents to Consent to Tx for Minor Child (legal opinion)

 

 

4. CONFIDENTIALITY: "NON-SUBPOENA CONTRACTS" WITH CLIENTS

A. Clients in Multi-Client Therapy - "Non-Subpoena Promise" ( Fisher )

B. Client Couple or Marital Therapy - "Non-Subpoena Promise" ( Hembree )

C. Client in Individual Therapy (+ Non-Participating Spouse) - "Non-Subpoena Promise" ( DeMaio )

     
CONFIDENTIALITY: CONTRACTS WITH STAFF, EMPLOYEES, STUDENTS, INTERNS
 

A. Confidentiality & Non-Disclosure Contract - Non-Clinical Staff, Stundents/Interns, Volunteers

B. Confidentiality & Non-Disclosure Contract - On-Site Agents - No Approved Access to Pt Info.
(e.g., janitor, "plant lady," computer technician, etc.)

 
5. CONFIDENTIALITY: Legal Protections and Limits in Virginia:
 Virginia Statutes Protecting or Limiting Patient Confidentiality
(with links to Code of Virginia for text of each statute or court case)
 

6. COURT-RELATED FORMS & CHARTS

A. Filing A Motion to Quash a Subpoena

C. Chart: Court-Related Roles "Which Hat are you Wearing?"

  
On Other Sites:


A. Informed Consent Forms: Ken Pope Website
http://kspope.com/

  Index of Forms: http://kspope.com/consent/index.php
 B. Informed Consent Contracts: APA Insurance Trust: http://www.apait.org
 Forms below (in WORD or PDF) at http://www.apait.org/apait/download.aspx
  Sample Informed Consent (Psychotherapy) Contract
Sample Forensic Psychotherapist-Patient Contract
Sample Child Therapy Contracts
Sample Coaching Contract
  Sample Outpatient Services Agreement for Collaterals:
  

http://www.apait.org/apait/resources/riskmanagement/cinf.aspx

 C. Contract: Fee Agreement For Working with Attorney(s) on Forensic Case
  http://www.drlaurabrown.com/doc/FeeAgreementForAttorneys.pdf
    

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