Rights
· You have the right to respectful care by professionally trained therapists without regard to race, color, religion, sex, age, national origin, source of payment or any other potentially discriminating factor.
· You have the right to actively participate in an assessment of your needs and to have an explanation of the therapist’s recommendations for treatment in a language you can understand.
· You have the right to participate in the formation of your plan for service and to understand your rights and responsibilities in the provision of services.
· You have the right to know the professional qualifications of your therapist.
· You have the right to terminate your agreement regarding the provision of services at any time unless mandated by a court of law.
Responsibilities
· You have the responsibility to make a commitment to the plan of services agreed upon by you and your therapist, and to ask your therapist questions about these services so that you clearly understand your role in it.
· You have the responsibility to provide, to the best of your knowledge, accurate and complete information about matters that pertain to your plan of service.
· You have the responsibility to treat agency staff with respect and dignity and to take no action that may jeopardize their safety or that of other persons.
· You have the responsibility to keep scheduled appointments. If an appointment needs to be cancelled, you have the responsibility to call your therapist 24 hours in advance.
· You have the responsibility for assuring that the financial obligation of these services is fulfilled as promptly as possible, either through third party payers (an insurance company) or by being personally responsible for payment for services not covered by insurance policies. Let your therapist know about difficulties paying fees.