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Therapy Consent Form
"I need a Therapy Consent Form for my private practice in Singapore that specifically covers both in-person and online therapy sessions, with extra provisions for working with teenage clients aged 16-18."
1. Patient Information: Basic identification and contact details of the patient, including personal information covered under PDPA
2. Therapist Information: Professional credentials, registration numbers, and contact information of the therapist as required by Singapore Medical Council
3. Services Description: Detailed explanation of therapy services, treatment methods, and expected outcomes
4. Confidentiality Statement: Privacy policies, limits of confidentiality, and circumstances requiring mandatory reporting under Singapore law
5. Fees and Payment: Service fees, cancellation policies, and payment terms
6. Consent Declaration: Explicit statement of informed consent, including acknowledgment of risks and benefits
1. Telehealth Provisions: Additional terms and conditions specific to virtual therapy sessions, including technology requirements and emergency protocols for remote services
2. Guardian Consent: Additional consent requirements for patients under 21 or those lacking mental capacity, in compliance with Mental Health Act
3. Group Therapy Terms: Special provisions for group therapy including confidentiality agreements between participants and group-specific policies
4. Research Participation: Optional consent for use of anonymized data in research, subject to institutional review board approval
1. Schedule A: Fee Schedule: Comprehensive breakdown of service fees, insurance coverage details, and payment terms
2. Schedule B: Emergency Procedures: Detailed protocol for crisis situations, emergency contacts, and after-hours support
3. Schedule C: Privacy Policy: Detailed PDPA compliance information including data collection, storage, and usage policies
4. Schedule D: Patient Rights: Comprehensive list of patient rights and responsibilities under Singapore healthcare laws
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