|
Confidentiality:
One of your
most important rights involves confidentiality. Within certain
limits, information revealed by you during therapy will be kept
strictly confidential and will not be revealed to any other
person or agency without your written permission. Recognizing
the benefit of second opinions, I may occasionally share
information with a colleague for purposes of consultation,
always preserving your privacy and shielding your identity. You
should also know that there are certain situations in which, as
a mental health counselor, I am legally required to reveal
information obtained during therapy to other persons and/or
agencies, without your permission. In the following situations,
I am not required to inform you of my actions:
1) If you
threaten grave bodily harm or death to another person, I am
required to inform the intended victim(s) and appropriate law
enforcement agencies.
2) If you
indicate a clear and present danger to hurt yourself and refuse
to accept further appropriate treatment, I am required to inform
your family, agencies or other individuals who, in my opinion,
would assist in protecting your safety.
3) Any
information indicating the possibility of abuse of children or
the elderly must be reported to the proper authorities.
Due to the
nature of the therapeutic process and the fact that it often
involves making a full disclosure with regard to many matters of
a personal and confidential nature, it is agreed that should
there be legal proceedings (such as, but not limited to divorce
and custody disputes, injuries, lawsuits, etc.), neither you
(client/s) nor your attorney/s, nor anyone acting on your behalf
will call on me (Pamela Henry, MA, LCMHC) to testify in court or
at any other proceedings, nor will a disclosure of the
psychotherapy records be requested. My written records are for
me alone, and shall not leave my office (nor be photocopied.)
Unless releasing this information might be harmful to you, I
will release a brief summary of your sessions, including dates
of service, diagnosis, and a brief treatment summary. I will
require you to read and sign any such report leaving my office.
Written treatment summaries of couple’s therapy contain
information about each person. Therefore, in such cases,
treatment summaries can only be released by joint consent. I
will not participate in any insurance disability claim process,
as I feel these reports are not always helpful to my client’s
therapeutic process. Your confidentiality and trust are of my
utmost concern. These policies are in place to protect you and
your confidentiality.
|