General Terms and Conditions

You as the client,

Payments, Cancelations, etc.

Exceptions to Confidentiality

There are exceptions to confidentiality that you should know about. Please note that while most of these situations are rare, they are important for you to understand. Exceptions to confidentiality include, but are not limited to, the following:

  1. 1. If you threaten to harm someone else, I am required under the law to take steps to inform the intended victim and appropriate law enforcement agencies.
  2. 2. If you threaten to cause severe harm to yourself, I am permitted to reveal information to others if I believe it is necessary to prevent the threatened harm.
  3. 3. If you reveal or I have reasonable suspicion that any child, elderly person, or incompetent person is being abused or neglected, the law requires that I report this to the appropriate county agency.
  4. 4. If a court of law orders me to release information, I am required to provide that specific information to the court.

Sign & Submit

Agreement received

Thank you for completing the service agreement. I look forward to our session together.