Your Rights 

&

Your Responsibilities

  1. You will not be discriminated against because of race, color, national origin, creed, gender, sexual orientation, age or disability.

  2. Unless you have a legally appointed guardian who makes financial and/or treatment decisions, you have the right to make decisions and act independently upon them. You have the right to be advised on the consequences of your decisions an/or actions. You have the responsibility to participate in your treatment planning.

  3. Personal privacy will be maintained at all times.

  4. Services provided to you will be in keeping with accepted clinical and professional standards, and will be provided by qualified. staff. You have the right to know the ethics, education and practice limitations. You have the right to be referred to other providers when appropriate. You have the right to be informed of your diagnosis, purpose, goals, techniques, risks, and benefits of treatment. You have the right to be informed of services available and decide on services in which you would like to participate.

  5. You have the right to an individualized treatment plan which is based on an initial and ongoing evaluation of your needs and the goals you wish to reach. You have the right to services which promote independence and least restrict your freedom while still enabling you to meet your treatment goals. You have the right to clear information addressing time of sessions, fees, third party requirement procedures, absences, and emergency procedures.

  6. You have the right to seek out a second opinion or consult with another service provider.

  7. You have the right to a save environment; therefore, pets are not allowed at Souhegan Valley Counseling, PLLC, (SVC) with the exception of assistance animals. Alcohol, drugs, and weapons are not allowed at SVC.

  8. Treatment is routinely terminated based on a joint decision made by your therapist and yourself. Either your therapist or yourself can terminate treatment independently, the basis of which will be documented in your clinical record. If SVC decides to terminate services because of endangerment to client or staff, you have the right to appeal this decision.

  9. Treatment shall not be suspended by SVC unless prior written notice is given. This notice may be given as an item in the individual's service plan or in the written contract of the program or treatment.

  10. If you are dissatisfied with the service you have received at SVC, you have the right to have your grievances respectfully heard and any failure corrected.

    • You have the responsibility to first talk with your therapist regarding any grievances you may have.

    • If you are not satisfied by the therapist's response to your grievance, or should you prefer to talk to to someone else, you may directly contact any of the partners of SVC to air your grievance.

    • You are financially responsible for all charges related to your care. Any problems pertaining to charges or billing should first be discussed with your therapist. If the problem is not resolved, you may contact one of the partners. 

    • If you are not satisfied with SVC's resolution of your complaint, you can submit the grievance in writing to the New Hampshire Board of Mental Health within 30 days of SVC's decision.