Professional Documents
Culture Documents
State and Federal laws protect your rights as a consumer of Jireh Counseling and Consulting Services treatment
programs. Below is a simplified outline of those rights:
• The right to receive services that respect your dignity and protect you health.
• The right to pertinent information, including the benefits and risks of your treatment, in sufficient time
to make informed decisions.
• The right to participate in planning your own program, and the right to request choice over the
composition of the service delivery team.
• The right to refuse service, unless a physician or licensed psychologist feels that refusal would be
unsafe for you and others.
• The right of referral to legal entities for appropriate representation, and to self-help and advocacy
support services.
• The right to prompt and confidential services even if you are unable to pay.
• The right to request an opportunity to inspect, copy, and correct your records).
• The right to exercise all civil, political, personal, privacy and property rights to which you are entitled
to as a citizen.
• The right to remain free of physical restraints or time-out procedures unless such measures are
required for providing effective treatment or for protecting your safety or the safety of others.
• The right to be free of physical abuse, including sexual abuse, and physical punishment.
• The right to remain free of psychological abuse, including humiliating, threatening, and exploiting
actions.
• The right to file a complaint if you think any of these rights have been restricted or denied.
Information on how to file a complaint or contact your Consumer's Rights Representatives is
presented on a poster near the reception desk.
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Consumer Signature Date
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Consumer Name (Print)
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Staff Witness Date