| CD Contents |
|
ix | |
| Acknowledgments |
|
xi | |
| Preface |
|
xiii | |
| Introduction |
|
xv | |
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Administrative and Intake Forms |
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1 | (1) |
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1 | (6) |
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7 | (1) |
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8 | (1) |
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Consent to Treatment and Recipient's Rights |
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9 | (1) |
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Recipient's Rights Notification |
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10 | (1) |
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Initial Client Information |
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11 | (2) |
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Example of completed form |
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12 | (1) |
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13 | (1) |
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Payment Contract for Services |
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14 | (1) |
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Code of Ethics and Mission Statement |
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15 | (1) |
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Therapist's Ethics Statement |
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16 | (1) |
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Agreement Regarding Minors |
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17 | (2) |
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Preauthorization for Health Care |
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19 | |
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Forms Designed for HIPAA Compliance |
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1 | (1) |
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1 | (7) |
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Privacy of Information Policies |
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8 | (2) |
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Request to Amend Health Records |
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10 | (1) |
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Request for Restricted Use/Disclosure of Records |
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11 | (1) |
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Request for Alternative Means of Confidential Information |
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12 | (1) |
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Release of Information Consent |
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13 | (1) |
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Record of Requests for Client Information |
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14 | (1) |
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Request for Listing of Disclosures of Client Records |
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|
15 | |
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1 | (1) |
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2 | (7) |
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Initial Assessment---Adult |
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9 | (16) |
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Example of completed form |
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17 | (8) |
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Initial Assessment---Children and Adolescents (< 18) |
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25 | (16) |
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Example of completed form |
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33 | (8) |
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Personal History---Adult (18+) |
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41 | (8) |
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Example of completed form |
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49 | (8) |
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Personal History---Children and Adolescents (< 18) |
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57 | (16) |
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Example of completed form |
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65 | (8) |
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Couple's Information Form |
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73 | (5) |
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Emotional/Behavioral Assessment |
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78 | (8) |
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Example of completed form |
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82 | (4) |
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Emotional/Behavioral Update |
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86 | (2) |
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Example of completed form |
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87 | (1) |
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Diagnostic Assessment Report |
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88 | (12) |
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Example of completed form |
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94 | (6) |
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Diagnostic Assessment---Lower Functioning |
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100 | (8) |
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Example of completed form |
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104 | (4) |
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108 | |
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Example of completed form |
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111 | |
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Psychological Evaluations |
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1 | (1) |
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1 | (2) |
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Psychological Evaluation---Adult |
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3 | (26) |
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Example of completed form |
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16 | (13) |
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Psychological Evaluation---Children and Adolescents |
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|
29 | |
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Example of completed form |
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|
43 | |
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Treatment Planning Forms and Procedures |
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1 | (1) |
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2 | (5) |
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Individual Treatment Plan |
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7 | (4) |
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Example of a Poor Treatment Plan |
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8 | (1) |
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Example of completed form---Adult |
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9 | (1) |
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Example of completed form---Children and Adolescents |
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10 | (1) |
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Short-Term Therapy Treatment Plan |
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11 | (2) |
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Example of completed form |
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12 | (1) |
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13 | (4) |
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Example of completed form |
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15 | (2) |
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17 | |
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Example of completed form |
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18 | |
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1 | (1) |
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2 | (6) |
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8 | (4) |
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Example of Poor Progress Notes |
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9 | (1) |
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Example of completed form---Adult |
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10 | (1) |
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Example of competed form---Children and Adolescents |
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11 | (1) |
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12 | (2) |
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Example of completed form |
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13 | (1) |
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Group Therapy Progress Notes |
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14 | (2) |
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Example of completed form |
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15 | (1) |
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Psychiatric Medication Management Progress Notes |
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|
16 | |
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Other Forms Used During the Course of Treatment |
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1 | (1) |
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2 | (2) |
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Informed Consent for Medication |
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4 | (1) |
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5 | (1) |
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Cooperating in Child Rearing |
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6 | (5) |
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Couple's Analysis of Target Behaviors |
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11 | (4) |
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Example of completed form |
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13 | (2) |
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Third-Party Prior Authorization Request for Continued Services |
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|
15 | |
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Example of Poor Authorization Request |
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16 | (1) |
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Example of completed form |
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17 | |
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Chart Review and Outcomes Documentation |
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1 | (1) |
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2 | (3) |
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5 | (2) |
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Utilization Review Committee Guide to Review Charts for Audit |
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7 | (3) |
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Utilization Review Committee---Chart Review Summary |
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10 | (1) |
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Medical Records Audit Chart |
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11 | (5) |
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Statement of Confidentiality for Those Auditing or Reviewing Client Charts |
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16 | (1) |
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Client Satisfaction Survey |
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17 | (1) |
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Clinical Outcomes Questionnaire |
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18 | |
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Termination and Aftercare |
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1 | (1) |
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1 | (2) |
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3 | (4) |
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Example of completed form |
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5 | (2) |
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|
7 | |
| Bibliography and Suggested Readings |
|
1 | (1) |
| CD-ROM Information |
|
1 | |