Privileged Communications: Materials revealed in sessions will remain strictly confidential except for:
1.) The client signs a written release of information indicating informed consent of such release.
2.) The client expresses intent to harm him/herself of someone else.
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.
It is my policy to assert privileged communication on behalf of the client and the right to consult with the client if possible, except during an emergency, before mandated disclosure. I will endeavor to apprise clients of all mandated disclosures as conceivable. In the event of marriage or family enrichment, material obtained from an adult client individually may be shared with the client’s spouse or other family members only with the client’s permission. Any material obtained from a minor client may be shared with that client’s parents or guardian.
Emergency Situations: If an emergency should arise, you may seek help through hospital emergency room facilities or by calling 911.
Full payment for each service is required prior to your first session. Clients are seen by appointment only. Clients will not be refunded for appointments that are broken or canceled without 24-hour notice. Payment is not accepted from insurance companies.
You, the client, are a full partner in your services. Your honesty and effort is essential to success. If as we work together, you have suggestions or concerns about your sessions, I expect you to share these with me so that we can make the necessary adjustments. If it develops that you would be better served by another mental health provider, I will help you with the referral process. If you need services beyond my certification, you reserve the right to receive additional assistance. I expect you to grant me permission to share information with this professional so that we may coordinate our services with you.