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Law & Ethics for Clinicians Working With Children & Families

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The “Clinical Clinical Record” Record<br />

1. Anything you’d find on an<br />

insurance <strong>for</strong>m:<br />

Demographic info (name, age,<br />

address, phone, gender, etc.)<br />

Insurance info<br />

Diagnoses (DSM-IV is OK, but…)<br />

Service dates & CPT Codes<br />

Financial (billed/rec’d. etc.)

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