268 CMR 5.03
Professional Relationship with Clients
(1) Licensees shall make known to prospective clients the important aspects of the professional
relationship, including fees and arrangement for payment, which might affect the client’s decision to
enter into the relationship. Licensee’s fees must be commensurate with services rendered . Under no
circumstances shall a licensee charge for services not rendered.
(2) Licensees must guard against conflicts of professional interest. They shall not engage in
commercial activities that conflict with responsibility to clients or to colleagues. Licensees shall not
receive or give a commission or rebate or any other form of remuneration for the referralofclients for
professional service. Licensees shall not accept fees, gifts, or other forms of gratuities for
recommending a particular product or use of a particular referral source.
(3) When a referral relationship exists, licensees shall provide ongoing communication with the
licensed referringpractitioner regardingchanges in plans of care, treatment programs, and termination
of services. Licensees shall take reasonable action to inform a client’s physician and any appropriate
allied health care provider in cases where a client’s nutritional status indicates a change in medical
status.
(4) Licensees shall disclose to clients any interest in commercial enterprises that the licensee promotes
for the purpose of personal gain or profit.
(5) Licensees shall be alert to situations that might cause a conflict ofinterest or have the appearance
of a conflict, and provide full disclosure when a real or potential conflict of interest arises.
(6) Licensees shall provide professional services in a manner that is sensitive to cultural differences
and does not discriminate against others on the basis of race, ethnicity, creed, religion, disability,
gender, age, sexual orientation, or national origin.
(7) A licensee shall not engage in, solicit, or otherwise attempt to engage in any form of sexual
relationship or activity with a client.
(8) Licensees shall not violate any provision of any federal or state statute relating to confidentiality
of client communication and/or records. Unless required by law, the licensee shall not reveal to any
unauthorized person any confidential information obtained from the individual that the licensee serves
professionally without the client’s expressed written permission.