With the exception of certain specific circumstances, you have the absolute right to the confidentiality of your therapy. I cannot and will not tell anyone what you have told me or that you are/not in therapy with me without your prior written permission. I will always act to protect your privacy even if you do release me in writing to share information about you. You may direct me to share information with whomever you choose and you can change your mind and revoke that permission at any time.
You are also protected under the provisions of the Federal Health Insurance Portability and Accountability Act (HIPAA)and Federal and Florida Law 42 C.F.Part 2 and 2.22. This law insures the confidentiality of all written and electronic transmissions of information about you. Whenever I transmit information about you electronically (i.e. faxing) it will be done with special safeguards to ensure confidentiality.
If you communicate with me by email, please be aware that it is not completely confidential. All emails are retained in the logs of your or my internet provider. While under normal circumstances no one looks at these logs they are, in theory, available to be read by the system administrator of the internet service provider. Any email I receive from you, as well as any responses that I send to you will be printed and kept in your treatment record.
There are certain legal exceptions to confidentiality that you should be aware of. I will inform you if I am required to take action in response to one of these exceptions.
If you express intent to harm another person, I must attempt to warn that person of you intentions. In addition I will inform law enforcement of your intentions and ask that they offer protection to any intended victim.
If there is evidence that you are abusing or neglecting a child or vulnerable adult, or if you give me information about someone else who is doing this, I must inform Child Protection Services within 24 hours and Adult Protection Services immediately.
If you are in imminent danger of harming yourself, I may legally break confidentiality and call the police or local crisis team. I would explore all other options with you before I took this step.
If you have a life-threatening or potentially disabling medical emergency, I am required to release to medical personnel the minimum necessary to assist you medically.
A court of law can request and obtain information without your permission. Or, if you have been court-ordered to treatment the judge may set aside your right to privileged communication. I will not automatically release information that has been requested by a court unless it is deemed necessary and compliant with the law.
I keep very brief records, noting only that you have been seen, what interventions occurred in session and the topics we discussed. You have the right to a copy of your file at any time, giving me the chance to furnish you with that copy. You have the right to request that I correct any errors in your file. You have the right to request that I make a copy of your file available to any other health care provider at your written request. I maintain your records in a secure location that cannot be accessed by anyone else.