Sample Outpatient Services Agreement for Collaterals

The reader is strongly advised to have his/her personal attorney review the Sample Outpatient Services Agreement for Collaterals document prior to implementation. The document should be in compliance with state and local statutes regulating the practice of psychology and should be clear of language that could be interpreted as a guarantee or implied warranty regarding the services rendered.

What follows is specific draft text that you may feel free to adapt for your practice or agency. Sections of the draft where you should insert numbers are designated XX, and sections you may want to add or specially modify are [bracketed].

CLICK TO VIEW THE SAMPLE OUTPATIENT SERVICES AGREEMENT FOR COLLATERALS (HTML)

CLICK TO DOWNLOAD MICROSOFT WORD FILE


NOTE: This information is provided as a risk management resource and is not legal advice or an individualized personal consultation. At the time this resource was prepared, all information was as current and accurate as possible; however, regulations, laws, or prevailing professional practice standards may have changed since the posting or recording of this resource. Accordingly, it is your responsibility to confirm whether regulatory or legal issues that are relevant to you have since been updated and/or to consult with your professional advisors or legal counsel for timely guidance specific to your situation. As with all professional use of material, please explicitly cite The Trust Companies as the source if you reproduce or distribute any portion of these resources. Reproduction or distribution of this resource without the express written permission of The Trust Companies is strictly prohibited.