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PRIVACY

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)           
Confidentiality

Your counselor will keep sessions confidential with the following exceptions:
  (a) you direct the counselor in writing to share information with someone else
  (b) The counselor determines you are a danger to yourself or others (including child or elder abuse), or
  (c) The counselor is ordered by a court to disclose information.
For minors, the counselor will share with the parents or guardians any aspect of the session the counselor deems as necessary.

Your Rights as a Counseling/Therapy Client under HIPAA

  1. As a client, you have the right to see your counseling/therapy file.  Psychotherapy notes are afforded special privacy protection under the HIPAA regulations and are excluded from this right.
  2. As a client, you have the right to receive a copy of your counseling/therapy file.  Psychotherapy notes are afforded special privacy protection under the HIPAA regulations and are excluded from this right.
  3. As a client, you have the right to request amendments to your counseling/therapy file.
  4. As a client, you have the right to receive a history of all disclosures of protected health information.
  5. As a client, you have the right to restrict the use and disclosure of your protected health information for the purposes of treatment, payment, and operations.  If you choose to release any protected health information, you will be required to sign a Release of Information form detailing exactly what information you wish disclosed and to whom it will be disclosed.
  6. As a client, you have the right to register a complaint with the Secretary of Health and Human Services if you feel your rights herein explained, have been violated.

Prior to your counseling or therapy, you will receive for your personal records:

  1. an exact duplicate of this document
  2. your counselor’s Professional Disclosure Statement and Consent for Treatment document

IIt will be necessary for you to sign a document indicating that you have received, read, and understand both documents.  This certificate will be placed in your counseling/therapy file.  Please do not sign the certificate if you do not understand any part of the HIPAA Client’s Rights or the Professional Disclosure Statement and Consent for Treatment.  Your counselor or therapist will be happy to explain these documents further.

 
 
   
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