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How a Mental Health Professional Handles Referrals and Fees
Abstract:Summary

The choice of referral and the relationship between referral sources can pose clinical and ethical dilemmas, due to the potential that the relationship between the psychologist and the referral source will interfere with the treatment relationship. Once the referral has been made, the referring psychologist must be sensitive to a second, and often a more problematic level of risk: conflicts that occur between the patient and the referral recipient. The situation becomes even more problematic when a psychologist is giving or receiving any form of compensation in connection with the referral. In addition to clouding the clinical relationship, the giving or receiving of such compensation, whether it is characterized as “referral fees” or otherwise, has important legal consequences, and may well result in license revocation proceedings or even criminal liability.
Keywords:Referrals  fees  confidentiality  consultations  patient needs  APA Ethics Code  aspirational principles  risk  compensation  kick-back  contracts  federal/state law
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