Client Rights and Responsibilities
You have certain important rights guaranteed to you as a client of Therapy Solutions which we want you and/or your parents or guardian to know, understand, and exercise. These rights include:
Equal Treatment
The right to be treated without regard to race, religion, gender, sex, age, marital status, national origin, sexual orientation, gender identity or expression, developmental disabilities, or mental or physical handicap.
The right to have access to translated materials or translators who can assist you if English is not your first language.
The right to be provided treatment and services in an environment free of abuse, neglect, financial exploitation, humiliation, or any other human rights violation.
The right to access self-help, advocacy, and legal services.
The right to be protected from coercion.
Confidentiality and Privacy
The right to privacy, security, and confidentiality of your identity, diagnosis, prognosis, and treatment.
The right to have the entire staff keep your identity, diagnosis, prognosis, and treatment confidential.
The right to be treated respectfully regarding your privacy.
The right to understand how your Protected Health Information (PHI) is disclosed for purposes of treatment, payment, and health care operations (these types of disclosures are further defined in the Notice of Privacy Practices, which is provided to you along with this document).
The right to the confidentiality of your medical records and source of payment for services (except as otherwise noted in the Notice of Privacy Practices).
The right to require your consent for the use of tape recordings, videotapes, and/or photographs of you, and to be informed of their purpose and how they will be used.
The right to provide or refuse authorization for family members or others to participate in your treatment or for the release of confidential information to family members or others.
The right to access your medical records in compliance with applicable state and federal laws in sufficient time to make decisions regarding your care.
The right to be given information regarding your pertinent legal rights relative to the Representative Payee Program, when applicable.
Treatment with Dignity
The right to be treated with respect for your personal dignity.
The right to receive safe and considerate treatment in the least restrictive environment.
The right to refuse to participate in any research study without losing treatment services.
The right to exercise your rights as a client of Therapy Solutions without fear of adverse consequences.
Service by Qualified Staff
The right to have qualified, competent staff supervise and provide you with services.
The right to be provided, upon request, information about the credentials, training, professional experience, and specialization of your providers and their supervisors.
Information about Treatment and Services
The right to be informed of treatment and services in a language you understand.
The right to have the opportunity to ask questions about your rights.
The right to be given the name, professional qualifications, and position of the staff member responsible for your care, as well as their supervisor’s name.
The right to be informed in advance if there is a change in your primary therapist.
The right to be informed of what to expect when you receive treatment.
The right to refuse services concurrent with other clients
The right to be told about the risks, benefits, and side effects of any proposed services or treatment.
The right to refuse any treatment to the extent permitted by law, and to be informed of the likely results of your refusal.
The right to receive the following information during the evaluation process and upon verbal or written request:
Accreditation status of Therapy Solutions
Discharge policies
Areas of treatment specializations at Therapy Solutions
Hours of operation
Emergency contact procedures
Procedures for resolving concerns and complaints
General services provided by Therapy Solutions
The right to be informed of your rights during the evaluation process at Therapy Solutions, whenever the clinic makes a change in the rights statement, and upon verbal or written request.
The right to be informed about, and to participate in, decisions regarding your treatment and services and to receive the information necessary for you to make informed decisions, including:
Your current diagnosis
The limitations of confidentiality
Projected discharge date and plan
Potential risks if treatment is not provided
Ongoing review of your treatment goals, and mutually agreed upon adjustments of the treatment or service plan
The right to object to any changes in treatment, services, or personnel, and the right to a clear and written explanation if such an objection cannot be accommodated.
The right to be referred to an alternate service, program, or treatment setting if you would be better served at a different level of care.
The right to screening for pain management, with a referral to your health care provider if appropriate.
Participation in Your Treatment Plan
The right to participate in the development of your treatment plan and to receive treatment accordingly.
The right to request a change of provider, clinician, or service, and if the request is denied, the right to receive a written explanation.
The right to be informed of the cost of services and any limitations placed on my treatment.
The right to have your treatment plan reviewed and updated periodically.
The right to review your medical records with your primary therapist and/or to request a review of your treatment plan by another staff member (at no cost) or by an outside consultant (at your expense).
The right to provide feedback on Therapy Solutions program policies and services through satisfaction surveys.
The right to be provided, upon request, information regarding charges billed to and payments made by an insurance company on my behalf.
The right to withdraw from treatment services at Therapy Solutions at any time.
Client Responsibilities
Your responsibilities as a client are to:
Participate in treatment planning.
Come to sessions in an alcohol and drug free condition.
Pay copays and any fees that you have agreed to per your signature on the Financial Agreement.
Respect the privacy of other clients of Therapy Solutions.
Attend all appointments or give adequate prior notice of cancellation.
Be familiar with your rights, responsibilities, and treatment.
Provide accurate information about yourself that is relevant to your treatment.
Comply with the rules of the specific program to which you are assigned.
Treat other clients and staff respectfully.
Not to bring weapons into any program.
Not to use tobacco products at Therapy Solutions.
