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Green Hills with Blue Sky

Privacy & Policy

Confidentiality & Privacy Policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.

Exceptions include:

  • Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
  • If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

Written permission to communicate with appropriate parties concerning treatment is obtained in the form of an Exchange of Information (form available on this site under "Helpful Forms") and is commonly requested for other service providers such as current and former therapists, family practitioners, psychiatrists, emergency contacts, and insurance companies (for billing purposes).  The type of information to be disclosed, the purpose of the disclosure, and the expiration date when the information may no longer be exchanged are all included in the document.  Customers have the option of withdrawing consent for the exchange of information at any time and may discuss any concerns about this with the therapist.

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Helpful Forms

Click here to view and print forms for your appointment.