Confidentiality Information

Records of the counseling relationship, including therapy notes, correspondence, electronic recordings, assessment results, electronic storage data, and other sources of information are considered professional information for use in counseling. They are not to be considered a part of the records of any institution or agency unless specified by state statute or regulation. Third party documents will not be released to the client. Client’s records will not be released to third parties (including insurance companies) without the expressed written consent of the client. Revelation to any other group or individual will occur only with the expressed consent of the client. Recognition of the expectations of different clients based on their cultural differences and expectations will be discussed and resolved prior to the release of any information. Materials revealed in counseling will remain strictly confidential except for material shared under the following circumstances, in accordance with State law:

1. The client signs a written release of information indicating informed consent of such release.
2. The client expresses homicidal or suicidal thoughts or plans.
3. There is a reasonable suspicion of abuse/neglect against a minor child, elderly person (60 or
   older), or a dependent adult.
4. A court order is received directing the disclosure of information.

EXCEPTION: When the client’s condition indicates that there is a clear and present danger to the client or to another person, the therapist must take reasonable, personal action to inform the proper authorities. Ths may include contagious, life-threatening diseases that have been confirmed by the therapist.

Also note that if you use third party insurers, such as health insurance policies, HMO or PPO plans, or EAP programs, you must sign a release of information and all information will be disclosed. You may request information to be given to another professional by signing a release of information form.

Privileged Communication: It is my policy to assert privileged communication on behalf of the client and the right to consult with the client if at all possible, except during an emergency, before mandated disclosure. In cases of threatened homicide/suicide, every effort will be made to resolve the issue before informing the mandated sources. If court ordered I am legally bound to disclose information. Certain types of litigation (such as child custody suits) may lead to the court-ordered release of information without your consent. I will endeavor to apprise clients of all mandated disclosures as conceivable.