This is a treatment agreement between the client name listed above (hereinafter referred to as Client) and the alternative practitioner for psychotherapy Susanne Stauch; licensed according to the HeilprPG (hereinafter referred to as Practice) - the following treatment contract is concluded:
§ 1 Subject matter of the contract
The Client accepts psychotherapeutic treatment in this Practice - in the form of individual or group therapy - including the necessary diagnostic and testing procedures.The Client is informed that psychotherapy does not replace physical examination and treatment by a physician and that he/she is requested to seek the treatment of a physician in case of complaints with any symptoms or is undergoing respective medical treatment/supervision while working with the Practice.
§ 2 Fee
Duration of treatment, reimbursement by service providers: the Client pays to the Practice the above selected rate per 50 minutes. Payment is due right after the session, or latest upon receipt of a monthly invoice. The calculation is based on this factor applied to the actual time spent per session (120 minutes window).
As a private Client, they are informed that this Practice is generally not approved by the public health insurances and benefits offices in accordance with the HeilprG. The Client is responsible for initiating the reimbursement procedure with a possible payer and informs themselves about approval procedures. The Practice cooperates to the extent that, if necessary, expert opinions and invoices are prepared according to the GebüH. A non-reimbursement or only partial reimbursement from a cost bearer (private health insurance companies) has no influence on the agreed cost claim of the Practice.
§ 3 Responsibilities
As a private outpatient practice with bi-monthly appointments, the Practice accompanies and supports clients who are sufficiently stable and safe in their lives. In case of acute crisis, Clients can reach out any time for further support, bearing in mind that the Practice cannot replace a day clinic or 24/7 crisis telephone. If a Client feels highly unstable or at risk of self-harm, they should additionally contact appropriate institutions/hospitals to receive the necessary support.
§ 4 Termination
The concluded treatment contract can be terminated at any time, with no need for justification, with a notice period of two weeks.
§ 5 Failure fee
In the event that the Client fails to attend a firmly agreed treatment appointment, the Client shall owe the psychotherapy practice a cancellation fee in the amount of their rate for 50 minutes. The cancellation fee is payable immediately without notice. The above payment obligation shall not apply if the client cancels 1 working day (24 hours) before the agreed appointment or is prevented from attending through no fault of their own, e.g. in the event of illness, accident, etc.
§ 6 Confidentiality
The Practice is subject to the duty of confidentiality and must be released from this duty of confidentiality in writing by the Client in the event that information is provided to cost bearers or family reference persons.