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In addition to face-to-face appointments ($300 per hour for psychological testing), I charge this amount for other professional services you may need, though I will break down the hourly cost if I work for periods of less than one hour Other services include report writing, telephone conversations lasting longer than 15 minutes, consulting with other professionals with your permission, preparation of records or treatment summaries, and the time spent performing any other service you may request of me If you become involved in legal proceedings that require my participation, you will be expected to pay for all of my professional time, including preparation and transportation costs, even if I am called to testify by another party [Because of the difficulty of legal involvement, I charge $300 per hour for preparation and attendance at any legal proceeding.

Modified T account: This account is a basic skeleton of a general ledger account used in an academic setting for beginning accounting students The T account format focuses directly on the debit or credit posting of the account by showing how a posting affects the balance of the account The modified.

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] CONTACTING ME Due to my work schedule, I am often not immediately available by telephone When I am unavailable, my telephone is answered by voice mail that I monitor frequently I will make every effort to return your call on the same day you make it or within 24 hours, with the exception of weekends, holidays, and vacations If you are difficult to reach, please inform me of some times when you will be available If you are unable to reach me and feel that you can t wait for me to return your call, contact your family physician or the nearest emergency room and ask for the psychologist [psychiatrist] on call If I will be unavailable for an extended time, I will provide you with the name of a colleague to contact, if necessary and desired You may also try to reach me via email at tplante@scuedu.

LIMITS ON CONFIDENTIALITY The law protects the privacy of all communications between a patient and a psychologist In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by state law and/or HIPAA But, there are some situations where I am permitted or required to disclose information without either your consent or Authorization: I may occasionally find it helpful to consult other health and mental health professionals about a case During a consultation, I make every effort to avoid revealing the identity of my patient The other professionals are also legally bound to keep the information confidential If you don t object, I will not tell you about these consultations unless I feel that it is important to our work together.

I will note all consultations in your Clinical Record (which is called PHI in my Notice of Psychologist s Policies and Practices to Protect the Privacy of Your Health Information) Since I teach and publish both books and professional articles, aspects of treatment might appear in medical or scientific journals or presented at professional conferences, lectures, or other presentations All possible precautions will be taken to protect your anonymity..

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