Art Therapist/Client Contract

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• If you are unable to attend your session, please give as much notice as possible of your cancellation.  Therapy occurs on the agreed upon dates and times; this space is reserved for you.  To make this possible and to maintain the consistency of your appointments for the duration of our work together, Art People reserves the right to charge a fee for cancellations made without 48 hours notice (not including weekends). Two weeks notice is preferred for planned absences.  If the Art Therapist has to miss a session, they will give you as much notice as possible, and you will not be charged.

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• Art People LLC has a 15 minute grace period.  Please let your Art Therapist know if you will arrive late for your scheduled appointment.  A session is considered a no-call, no-show if the client has not arrived 15 minutes after their scheduled appointment time.  After 3 no-call, no-shows the Art Therapist reserves the right to terminate the client.

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• The client is responsible for understanding their insurance benefits and any copays or coinsurance that they may owe. 

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• If the client changes insurance providers, they must give the Art Therapist sufficient notice.  This means that the Art Therapist must be notified before the client’s current insurance provider changes.  If the client does not give sufficient notice, and a claim is rejected by the new insurance provider, the Art Therapist reserves the right to charge the client their private pay fee for that session.

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• Art People requires a valid credit card on file for all clients using private insurance or private pay. 

• Sessions canceled by the Art Therapist will not be charged for. If the Art Therapist has to miss a session, they will give you as much notice as possible. 

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• ​​Art People utilizes an outside billing service associate for insurance claims. We need to share your medical information such as diagnosis, insurance identification information, and dates of service with our billing associate.  We have a written contract with this billing associate that contains terms requiring them to protect the confidentiality of your medical information.  

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• Periodically Art People may need to increase private pay and no show rates due to inflation and cost of living.  All clients will be informed of any change of rate with advance notice.

• Clients can decide to end their therapy at any time but need to inform the therapist of their intentions as soon as possible. A 4-week notice is recommended for the client and the therapist to come to a proper conclusion of the therapy.

• Clients need to present alcohol and substance free on the day of their session. This does not include medication prescribed by a GP or other appropriate professional.

• Sessions will be offered in accordance with HIPAA laws and the American Art Therapy Association code of ethics.

• Art work and documentation on sessions will be stored securely by the Art Therapist. 

• No art work, documentation, or information disclosed in an Art Therapy session will be shared with others without the written consent of the client or their guardian (if applicable).

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•  Limits to confidentiality: 

1.    The Art Therapist believes there is a risk of harm to you

2.    The Art Therapist believes that there is a risk of harm to someone else

3.    The Art Therapist required by law to disclose material

Client or Guardian’s signature indicates that they have read the above office policies and agree to abide by these terms during our professional relationship.  The undersigned client or responsible party consents to and authorizes services by Art People LLC.

The undersigned understands that they have the right to:

• Be informed of and participate in the selection of treatment modalities.

• Receive a copy of this consent.

• Withdraw this consent at any time.

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