Family Involvement Policy

The term “family” is used to denote parents, extended family, guardians, or other persons with whom the patient lives. “Parent” or “family” may also include community members or other concerned adults involved in the patient’s life, pursuant to state and federal laws surrounding confidentiality.

If I am the parent/legal guardian of the child/ward enrolled in treatment, I agree to participate in my child’s/ward’s treatment as needed and prescribed by Simon-Stueart Counseling Service, LLC. policies, physician’s orders, and treatment plans; including family therapy if indicated, providing my signature as needed, and securing supporting documentation necessary for treatment such as Primary Care Physician (PCP) referrals. I understand that failure to participate may necessitate reevaluation of my child/ward for appropriateness of continued treatment and may result in discharge of my child/ward. I have been informed that payer sources, such as Arkansas Medicaid, and other reviewing parties may require such participation as a condition of treatment.

Simon-Stueart Counseling Service, LLC