We recommend modifying your informed consent to include the fact that TheraClosure will administrate your practice in the event of a sudden death or incapacitation. We also recommend that you notify your Personal Representative and Alternate Personal Representative about their roles regarding your Professional Will. Below is suggested wording you can use in an email to the Personal Representative, and to the Alternate Personal Representative.
Example Wording for Informed Consent
In the event of my incapacitation or death, I have arranged for a clinician from the company TheraClosure to notify you promptly, assist you with referrals to other qualified mental health professionals if needed, secure your records and, at your direction, transfer your records to another therapist to ensure continuity of care. Please be assured that TheraClosure clinicians are bound by the same ethical and legal standards of confidentiality as I am.
Example Letter to Personal Representative
Dear ______________,
As you know, I have asked TheraClosure to serve as my psychotherapy Practice Executor in the event of my sudden incapacitation or death. In order for TheraClosure to execute its work, a Personal Representative must notify them and transmit certain information to them. Thank you for agreeing to be my Personal Representative.
In the event of my sudden incapacitation or death, you should immediately email notify@theraclosure.com, and also call 301-804-1241, notifying TheraClosure about what has happened to me. TheraClosure will guide you in how to access any necessary information, as I have outlined in my Professional Will, which I have attached.
Please note that, if you have not already, you will receive a similar message directly from TheraClosure in order to confirm your role as Personal Representative.
Example Letter to Alternate Personal Representative
Dear _______________,
As you know, I have asked TheraClosure to serve as my psychotherapy Practice Executor in the event of my sudden incapacitation or death. In order for TheraClosure to execute its work, a Personal Representative must notify them and transmit certain information to them. Thank you for agreeing to be my Alternate Personal Representative.
In the event of my sudden incapacitation or death, you should immediately contact TheraClosure (phone 301-804-1241; email notify@theraclosure.com) to confirm that they have received notification from _____________________________ who is my Personal Representative. In the event that your services are needed, TheraClosure will guide you in how to access any necessary information, as I have outlined in my Professional Will (which I have attached).
Please note that, if you have not already, you will receive a similar message directly from TheraClosure in order to confirm your role as Alternate Personal Representative.