Phoenix Mental Health and Wellness
We are a licensed clinic providing psychiatric services including medication management and therapy for a variety of mental health concerns. We value our relationship with our clients and believe that a therapeutic relationship of trust is the foundation of the healing process.
We believe that each individual is unique and has their own way of addressing resolutions. Thus, we believe in a wellness model that helps our clients empower themselves by focusing on what works for them and not in a systematic approach that provides a generic procedure on working on a treatment. One's journey is not the same as the other.
Client's Rights
The client may ask questions on what to expect during and end result of the treatment.
The client may decline to proceed with the treatment if not comfortable with the treatment plan presented by the provider.
The client may discontinue treatment at anytime, without any impediment and may request to return to treatment anytime.
The provider has the right to dismiss the client from treatment if the provider feels the client is requesting care that the provider believes is detrimental to the patients mental or physical health.
The provider has the right to dismiss the client from treatment if the provider feels the client and provider have had a break of therapeutic trust and report.
The provider has the right to dismiss the client from treatment if the provider feels the client’s needs are beyond the ability of the provider or the practice and the client would receive better care elsewhere.
The client has the right to review his or her records from the provider.
Right to confidentiality: Within limits provided for by law, all records and information acquired by the provider shall be kept strictly confidential in accordance to the principles of a “clinician-patient” relationship.
By signing this form the client does give permission for the provider and this practice to discuss treatment with all relevant medical and counseling professionals in order to coordinate care and provide the best treatment for the client.
Acknowledgement
I have reviewed this Professional Psychiatric Treatment Informed Consent Agreement. I likewise understand my Client's Rights set in this form.
I accept this agreement and consent to treatment.