Data Repository. ▇▇. ▇▇▇▇▇/Sevitar asks for your permission to add data from your clinical record to a de-identified research database. The research database will not include your name, address, or any other information that could identify you. The database will be used for scientific research about the nature and causes of anxiety, depression, and other psychological difficulties; about the processes of change during treatment; and about the quality of our assessment tools, in order to improve our understanding of psychological difficulties and to improve our treatment of those difficulties. You do not have to give permission for your data to be used in research unless you want to. Declining to give permission will not affect your treatment with ▇▇. ▇▇▇▇▇/Sevitar in any way. Because no identifying information will be added to the data repository, data cannot be withdrawn from the data repository once they are placed there. Your information will not be added to the data repository unless you initial this section.
Appears in 3 contracts
Sources: Evaluation and Treatment Agreement, Evaluation and Treatment Agreement, Evaluation and Treatment Agreement
Data Repository. ▇▇. ▇▇▇▇▇/Sevitar /▇▇▇▇▇▇▇ asks for your permission to add data from your clinical record to a de-identified research database. The research database will not include your name, address, or any other information that could identify you. The database will be used for scientific research about the nature and causes of anxiety, depression, and other psychological difficulties; about the processes of change during treatment; and about the quality of our assessment tools, in order to improve our understanding of psychological difficulties and to improve our treatment of those difficulties. You do not have to give permission for your data to be used in research unless you want to. Declining to give permission will not affect your treatment with ▇▇. ▇▇▇▇▇/Sevitar in any way. Because no identifying information will be added to the data repository, data cannot be withdrawn from the data repository once they are placed there. Your information will not be added to the data repository unless you initial this section.
Appears in 1 contract
Sources: Evaluation and Treatment Agreement