Statement of Clients Rights

Right to a humane mental and physical environment
*You have the right to:
* Receive considerate, respectful, and professional service.
* Facilities that are comfortable and safe; promote dignity, ensure privacy, and contribute to positive outcomes of your service.
* Receive services without regard to race, religion, ethnic origin, gender, age, or sexual preference.
* Be informed of services available to you and what to expect of the service process.

Right to voluntary services
*You have the right to:
* An individualized assessment of your needs
* An individualized service plan that will be reviewed regularly, developed with your input, and implemented with your consent.
* Services beginning within a reasonable time and ending when they are no longer needed or effective.
* Referrals to other competent professionals and sources of help as indicated by your service plan
* Terminate services if your circumstances require it and you feel it is in your best interest, unless doing so puts you or others in grave danger.
* Make your own decisions.
* Resume service following termination
* Review your clinical records.

Right to confidentiality and privacy
All information about you is understood to be confidential to protect your privacy. No information, including the fact that you have or have not received services, can be released without your written consent. The only exceptions to this “absolute confidentiality” are times of medical emergencies, suspected child abuse, homicidal or suicidal threats, and when ordered by law or the court.
*You have the right to:
* Determine what information can be released to or from this office by signing a permission, or consent form.
* Sign a consent form to release information that is specific to each situation; in other words, you will not be asked to sign a “blanket” permission form for release information as a “one size fits all.”
* Determine the length of time that information may be released and cancel that permission at any time.

Right to refuse services
*You have the right to:
* Refuse any form of services or treatment unless it has been ordered by the court or in emergency situations
when necessary to prevent harm to yourself and others.
* Refuse services from this office and request a referral to another setting
* Be informed that without services, your situation may get worse.
* Refuse to be filmed or audiotaped without your written permission
* Refuse to take part in research studies without your written permission.

I have read and understood my rights as a client.