Documentation for Children Under 14
Welcome! We live in a society that loves forms. We have forms for everything. Unfortunately, Dr. Federici’s office is no exception. Don’t be overwhelmed, you can come to your first appointment 10 minutes early to complete the forms, or if you prefer, please print them out before your appointment and bring them with you.
THE DOCUMENTS:
- The Therapy with Dr. Federici document explains the office practices
- Dr. Federici has procedures in place to protect your child and your family’s privacy. The Confidentiality and Security document explains these procedures. Where-ever possible, Dr. Federici wants you to decide on the level of precautions you feel comfortable for your family. It is the parent that will decide the level of privacy you feel comfortable with for your child family.
- For successful therapy, children need to feel that they are free to discuss anything in therapy, without any repercussions of ‘getting into trouble’. The Treatment of a Minor and Respecting Their Privacy document details how Dr. Federici respects his younger patients’ privacy, and what he will or will not tell parents. Each situation is different, and the age of the child and the nature of matter are all taken into consideration. Dr. Federici has been working with families with young children and is well aware of how to balance helping families in this delicate area.
- The HIPAA Policy
- The Phone Session Procedure document explains under what conditions phone sessions may be offered. PLEASE NOTE: if you will not be in New Jersey you may not schedule phone sessions
THE FORMS:
The following documents should be signed and returned to Dr. Federici:
- The Informed Consent for Therapy Form where you acknowledge receiving, understanding, and agree to practice’s policies
- The Consent to Treat a Minor Form to be signed by the parent or guardian
- The Communication Preference Form for Family of a Minor where the parent or guardian states how you would like to be contacted
- The HIPAA Acknowledgement Form acknowledges that you have read the HIPAA practices
- The Credit Card Authorization Form where you authorize the use of your credit card. PLEASE NOTE: The preferred payment method is by credit card
IF THERE IS ANY PART OF THE FORMS THAT YOU ARE CONCERNED ABOUT
DR. FEDERICI WILL GLADLY REVIEW IT WITH YOU
:
DR. RICHARD FEDERICI
New Location
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