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The Trust
111 Rockville Pike
Suite 900
Rockville, MD 20850

1-800-477-1200

Minimizing vicarious liability exposure for loosely organized groups and certain MSO arrangements

For all associations of independent practitioners (To be included as part of one’s informed consent statement)

As you know, I work with a group of independent mental health professionals, under the name (Name of Practice). This group is an association of independently practicing professional which shares certain expenses and administrative functions. while the members share a name and office space, I want you to know that I am completely independent in providing you with clinical services and I alone am fully responsible for those services. My professional records are separately maintained and no member of the group can have access to them without your specific, written permission.

For Management Services Organization

(To be included on all bills, or other official communications to consumers)

(Name of Group) is a corporation which provides administrative and management services to mental health professionals. As an independent practitioner, your provider is solely responsible for all matters concerning your clinical care and all questions about that care should be addresses to her/him.


Copyright © 1998-2000 APAIT

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The APA Insurance Trust ("the Trust") was formed in 1962 by the American Psychological Association ("APA") as a separate and distinct legal entity from the APA. The Trust is legally recognized as a business trust that provides financial security programs for the members of the APA and other affiliated individuals as well as risk management and other consultative services related to the Trust Insurance Programs.