Acknowledgment of receipt and understanding
I acknowledge that I have received access to the Employee Manual of The Healing Haven (Helen DeLovely LCSW PLLC), have read it in full, and have had the opportunity to ask questions about it. I understand and agree that:- At-will employment. My employment is at will. Either I or the practice may end it at any time, with or without cause or notice. Nothing in this manual creates a contract of employment or a promise of continued employment. Only a written agreement signed by Helen De-Lovely as owner can change my at-will status.
- The manual may change. The practice may change, add to, or remove any policy at any time. I’m responsible for reading updates when they’re communicated.
- Confidentiality and HIPAA. I have completed privacy and security training. I understand my obligations under HIPAA, Utah law, and the practice’s policies to protect client information, including the rules on devices, texting, email, AI tools, social media, and internal communication. I understand these obligations continue after my employment ends. I have separately signed the practice’s HIPAA and confidentiality agreement.
- Unique credentials. I will use only my own login credentials, never share them, and never use anyone else’s.
- Breach reporting. I will report any suspected privacy or security incident to the practice manager and Zack the same day.
- Mandatory reporting and crisis protocol. I have read the client crisis and safety protocol and the mandatory reporting page. I understand that Utah’s reporting duties apply to me personally.
- Exclusion screening. I confirm that I am not excluded, debarred, or otherwise ineligible to participate in any federal or state healthcare program, and I will notify the practice immediately if that changes. I understand the practice screens all workforce members at hire and monthly.
- Conduct policies. I have read and will follow the code of conduct, professional boundaries, anti-harassment, workplace violence, drug- and alcohol-free workplace, conflict-of-interest, and personal-device policies.
- Job description. I have received and reviewed my job description and understand the duties and expectations of my role.
- Pay notice. I have been informed in writing of my rate of pay, my pay schedule, my first payday, how any bonus is calculated and when it is paid, my benefits allowance if my role has one, and whether my position is exempt or non-exempt. I understand there is no PTO bank and that the four-day week is the practice’s time-off model.
- No non-compete, no non-solicit. I understand that the practice imposes no non-compete and no non-solicitation agreement, consistent with Utah law, and that nothing in this manual limits my rights under the National Labor Relations Act or Utah law described on the Your Rights at Work page.
- Open items. I understand that certain policies marked “Not yet set” in the manual are still being decided, and that I’ll be notified when they’re finalized.
- Questions. I know that questions about this manual go to the practice manager, and that I can raise any concern through the reporting path in the anti-harassment policy without retaliation.
Employee name (printed): ______________________________________ Signature: ______________________________________ Date: ______________ Manual version acknowledged: Version 1.1, September 3, 2026. See Changelog for the current version.
Practice representative (printed): ______________________________________ Signature: ______________________________________ Date: ______________
A signed copy is placed in the employee’s personnel file. Annual re-acknowledgment is required when the manual is materially updated, and at least once a year alongside annual HIPAA training.