Confidentiality

All interactions which take place in the setting of Early Start therapy are considered confidential. This includes requests by telephone, all interactions with this therapist, any scheduling or appointment notes, all session content records and any progress notes that I take during your sessions, online or in-person. I will not verify that you are a client. You may choose to give me permission in writing to release any or specific information about you to any person or agency that you designate.


Limits to this agreement:

In the case where an issue is taken to court.

If I learn of or believe that there is physical or sexual abuse or neglect of any person under 18 years of age.

If I learn of or believe that an elderly person, or disabled person is being abused or neglected.

If I learn of or believe that you are threatening serious harm to another person, I am obligated to report this. This can be in the form of telling the person who you have threatened, contacting the police or placing you into hospitalization.

If there is evidence that you are a danger to yourself and I believe that you are likely to kill yourself unless protective measure are taken, I may be obligated to seek hospitalization for you or to contact family members or others who can help provide protection

I have read and discussed the above information with my therapist. I understand the nature and limits of confidentiality.