As a client in this program you have certain
rights and responsibilities which include:
To receive consideration and be treated with respect and dignity.
To obtain information regarding your status in treatment.
While a client in our program, you have the right to leave treatment at
your discretion. If you are on probation, Court Ordered, Court admitted,
involved with Child Protective Services, etc., it is our responsibility to
inform those agencies of your decision, whether you sign out Against Medical
Advice, leave during treatment hours, or simply fail to report or return for
Your involvement in treatment and all information in your records is
protected under Federal Confidentiality Regulations. We cannot confirm or deny
that you are, or have been, a client in this program, unless there is a signed
Release of Information in your file to that specific person or agency.
Telephone calls for you will be handled by telling the caller that we
cannot confirm or deny your involvement, but if they care to leave a message, it
will be placed on the call message board. It is entirely up to you whether you
return the call.
There is a grievance procedure that will be explained to you at the time
of admission. If you feel that you have a bonafide grievance, please follow that
You have the right to request referrals to other agencies for treatment
and/or for additional assistance. Examples: Halfway houses, Victim Services,
Legal Aid, etc.
You have the right to feel safe. Emotional and/or physical abuse by
another client or staff member will not be tolerated.
Client is expected to work with the counselor to draw up a plan for the
The client must attend all appointments unless he/she gives proper notice
ahead of time when he/she will not be present. This notice must be given
24-hours in advance. If proper notice is not received, a fee of $10.00 will be
charged to the client. This fee must be paid in full before the client will be
The client is to be responsible for paying his/her fees on time.
Clients who receive treatment at our agency are expected to not use any
drugs or alcohol, (except as prescribed by a physician and approved by the
staff) while they are being seen at our program.
All that we do with people at the Central Iowa Gambling
Treatment Program Inc., is confidential. Therefore, clients are expected to not
give out names of other people they see here or any information about them
outside of the Program
This is an equal opportunity agency, this program does
not, by act or deed discriminate against any person desiring treatment based on
race, creed, national origin, sex, sexual orientation, age, handicap or