In most instances the therapist cannot take a call from a collateral without a Release of Information form. If you have questions about therapy, my procedures, or your role in this process, please discuss …

This document is to inform you about the risks, rights, and responsibilities of your participation as a collateral contact who is participating in the therapy and/or evaluation of the above-named client.

collateral contact is a direct contact with a person, organization or agency to verify information from the client. It might be necessary when documentation is not available or when available evidence needs …

I, ________________________, (the collateral participant) have been invited by ________________________ (client) to attend one or more of the client's psychotherapy sessions …

The investigator must: Identify collateral contacts likely to have relevant and reliable information on the family. Provide his or her name and contact information to “professionally mandated” reporters within …

The purpose of this form is to allow a “collateral” or “guest” to participate in a therapy session as a third-party participant. The role of a collateral/guest can vary according to his/her relationship with the client.

Use the Consultation - Collateral Contact Progress Note to document Case Consultation, Family Consultation and Collateral Contact services. This form can be used for either billable or non-billable …

The Authorization Form is also helpful to the clinician on those occasions when receiving a telephone call from a collateral or when the clinician calls a collateral for one reason or another.

Collateral Contact Form. (People who make an imprint on your life!) Date . /Month /DayYear. Date. Client Name* First NameLast Name. Name . First & Last. Please select the from the following (check …