Client Privilege Clause Samples

Client Privilege. I will not voluntarily participate in any litigation, or custody dispute in which you and another individual, or entity, are parties. I will generally not provide records or testimony unless compelled to do so. Should I be subpoenaed, or ordered by a court of law, to appear as a witness in an action involving a client, clients will reimburse me for any time spent for preparation, travel, or other time in which I make myself available for such an appearance at an hourly rate of $200/hour, with a 4 hour minimum fee. The information disclosed by you in therapy, as well as any records created is subject to the “psychotherapist-client privilege.” If I receive a subpoena for records, deposition testimony, or testimony in a court of law, I will assert this privilege on your behalf until instructed, in writing, to do otherwise by you or your legal representative.

Client Privilege. The information disclosed by Client, as well as any records created, is subject to the psychotherapist Client privilege. The psychotherapist-Client privilege results from the special relationship between Therapist and Client in the eyes of the law. It is akin to the attorney-client privilege or the doctor-Client privilege. Typically, the Client is the holder of the psychotherapist-Client privilege. If Therapist received a subpoena for records, deposition testimony, or testimony in a court of law, Therapist will assert the psychotherapist-Client privilege on Client’s behalf until instructed, in writing, to do otherwise by Client or Client’s representative. Client should be aware that he/she might be waiving the psychotherapist- Client privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Client should address any concerns he/she might have regarding the psychotherapist-Client privilege with his/her attorney. The usual and customary fee for service is $175 per 45-minute session. Sessions longer than 45-minutes are charged for the additional time pro rata. Therapist reserves the right to periodically adjust this fee. Client will be notified of any fee adjustment in advance. In addition, this fee may be adjusted by contract with other third- party payors, or by agreement with Therapist.

Client Privilege. The information disclosed by Client, as well as any records created, is subject to the psychotherapist-client privilege. The psychotherapist-client privilege results from the special relationship between Therapist and Client in the eyes of the law. It is akin to the attorney-client privilege or the doctor-client privilege. Typically, the client is the holder of the psychotherapist-client privilege. If Therapist received a subpoena for records, deposition testimony, or testimony in a court of law, Therapist will assert the psychotherapist-client privilege on Client’s behalf until instructed, in writing, to do otherwise by Client or Client’s representative. Client should be aware that he/she might be waiving the psychotherapist-client privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Client should address any concerns he/she might have regarding the psychotherapist-client privilege with his/her attorney. The usual and customary fee for service is $120 per 45-minute session. Sessions longer than 45-minutes are charged for the additional time pro rata. Therapist reserves the right to periodically adjust this fee. Client will be notified of any fee adjustment in advance. In addition, this fee may be adjusted by contract with insurance companies, managed care organizations, or other third-party payors, or by agreement with Therapist. The agreed upon fee between Therapist and Client is [insert usual and customary fee, or other agreed upon fee] ______________. Therapist reserves the right to periodically adjust fee. Client will be notified of any fee adjustment in advance. From time-to-time, Therapist may engage in telephone contact with Client for purposes other than scheduling sessions. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. In addition, from time-to-time, Therapist may engage in telephone contact with third parties at Client’s request and with Client’s advance written authorization. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. Clients are expected to pay for services at the time services are rendered. Therapist accepts cash, checks, debit cards and major credit cards. Client is responsible for any and all fees not reimbursed by his/her insurance company, managed care organization, or any other third-party payor. Client is responsible for verifying and...

Client Privilege. The information disclosed by Client, as well as any records created, is subject to psychotherapist-client privilege which results from their special relationship in the eyes of the law. Typically, the client is the holder of the psychotherapist-client privilege. If Therapist received a subpoena for records, deposition testimony, or testimony in a court of law, Therapist will assert the privilege on Client’s behalf until instructed, in writing, to do otherwise by Client or Client’s legal representative. Client should be aware that he/she might be waiving the psychotherapist-client privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Client should address any concerns he/she might have regarding psychotherapist-client privilege with his/her attorney.

Client Privilege. The information disclosed by Client, as well as any records created, is subject to the psychotherapist-client privilege. The psychotherapist-client privilege results from the special relationship between Therapist and Client in the eyes of the law. It is akin to the attorney-client privilege or the doctor-client privilege. Typically, the client is the holder of the psychotherapist-client privilege. If Therapist received a subpoena for records, deposition testimony, or testimony in a court of law, Therapist will assert the psychotherapist-client privilege on Client’s behalf until instructed, in writing, to do otherwise by Client or Client’s representative. Client should be aware that he/she might be waiving the psychotherapist-client privilege if he/she makes his/her mental or emotional state an issue in a legal proceeding. Client should address any concerns he/she might have regarding the psychotherapist-client privilege with his/her attorney. The usual and customary fee for service is $250 per 50-minute session for individual therapy or couples therapy. Sessions longer than 50-minutes are charged for the additional time pro rata. Therapist reserves the right to periodically adjust this fee. Client will be notified of any fee adjustment in advance. In addition, this fee may be adjusted by agreement with Therapist. From time-to-time, Therapist may engage in telephone contact with Client for purposes other than scheduling sessions. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. In addition, from time-to-time, Therapist may engage in telephone contact with third parties at Client’s request and with Client’s advance written authorization. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. Clients are expected to pay for services at the time services are rendered. Therapist accepts cash and personal checks as well as credit cards. Clients may not use credit cards for reduced fee sessions.

Client Privilege. The information disclosed by the Clients, as well as any records created, is subject to the Psychotherapist-Client privilege. The Psychotherapist-Client privilege results from the special relationship between the Therapist and Clients in the eyes of the law. It is akin to the attorney- client privilege or the Doctor-Client privilege. Typically, the Clients are the holders of the Psychotherapist-Client privilege. If the Therapist receives a subpoena for records, deposition testimony, or testimony in a court of law, the Therapist will assert the Psychotherapist-Client privilege on the Client's behalf until instructed, in writing, to do otherwise by the Clients or the Clients' representative. The Clients should be aware that they might be waiving the Psychotherapist-Client privilege if they make their mental or emotional state an issue in a legal proceeding. The Clients should address any concerns they might have regarding the Psychotherapist-Client privilege with their attorney.

Client Privilege. The information disclosed by you, as well as any records created, is subject to the psychotherapist-client privilege. The psychotherapist-client privilege results from the special relationship between Therapist and Client. It is akin to the attorney-client privilege or the doctor-patient privilege. If I receive a subpoena for records, deposition testimony, or testimony in a court of law, I will assert the psychotherapist-client privilege on your behalf until instructed, in writing, to do otherwise by you or your legal representative. You should be aware that you might be waiving this privilege regarding your entire treatment if you make your mental or emotional state an issue in a legal proceeding. You should address any concerns you might have regarding the psychotherapist-client privilege with your attorney. I will not voluntarily participate in any litigation or custody dispute in which you and another individual or entity are involved. While I generally have a policy of not communicating with clients’ attorneys and will generally not write or sign letters, reports, declarations, or affidavits to be used in any client’s legal matter, I will provide basic progress reports and other documentation to a probation or parole officer, judge, or lawyer IF it will serve the client favorably in a probation or parole situation. However, the time involved in the preparation of such reports or documentation will be billed to you. IN these instances, or should I be subpoenaed or ordered by a court of law to appear as a witness in an action involving you, you agree to reimburse me for any time spent for that preparation, travel time, or other time in which I have made myself available for such an appearance at my usual and customary hourly rate of

Client Privilege. The information disclosed by client, as well as any records created, is subject to the psychotherapist-client privilege. The psychotherapist-patient privilege results from the special relationship between Therapist and client in the eyes of the law. It is akin to the attorney-client privilege or the doctor-patient privilege. Typically, the client is the holder of the psychotherapist-client privilege. If Therapist received a subpoena for records, deposition testimony, or testimony in a court of law, Therapist will assert the psychotherapist-client privilege on client’s behalf until instructed, in writing, to do otherwise by client or client’s representative. The usual and customary fee for service is per 50-minute session. Sessions longer than 50- minutes are charged for the additional time pro rata. Therapist reserves the right to periodically adjust this fee. Client will be notified of any fee adjustment in advance. From time-to-time, Therapist may engage in telephone contact with Client for purposes other than scheduling sessions. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. In addition, from time-to-time, Therapist may engage in telephone contact with third parties at Client’s request and with Client’s advance written authorization. Client is responsible for payment of the agreed upon fee (on a pro rata basis) for any telephone calls longer than ten minutes. Patient is responsible for any and all fees not reimbursed by his/her insurance company, managed care organization, or any other third-party payor. Patient is responsible for verifying and understanding the limits of his/her coverage, as well as his/her co-payments and deductibles. Therapist is a contracted provider with the following companies: Beacon Health Strategies, Medi-Cal, Partnership HealthPlan of California, Optum Behavioral Health, ▇▇▇▇▇▇ Health Plus, United Behavioral Health , and has agreed to a specified fee. If Patient intends to use benefits of his/her health insurance policy, Patient agrees to inform Therapist in advance.

Client Privilege. All matters concerning the subscriber’s health