OTHER EXCEPTIONS TO CONFIDENTIALITY
Some exceptions to confidentiality include billing account management, managed care, worker’s compensation claims, and disclosure to insurance and collection agencies. If you plan to bill health insurance to reimburse you for your therapy, please be aware that many companies require private information about you, such as diagnosis, symptoms, treatment and response to treatment. This carries a certain amount of risk to privacy and to future capacity to obtain health or life insurance.
Another exception to confidentiality is if the client is involved in a litigation process. These situations are rare in my practice, but I want you to be aware that if your records are ever requested by the court, you will be notified, and I will claim privilege on your (client’s) behalf. However, if a valid Court order is issued for release of health records I am bound by law to comply with such request. In this case, only the essential information will be disclosed. It is important for you to know that if you place your mental status issue in a litigation process initiated by you, the defendant may have the right to obtain your therapy records as well, and/or my testimony.
Emergency situations may also be an exception to confidentiality. If there is an emergency with you or your child during our work together where I become concerned about your personal safety, I may contact the person whose name you have provided as the Emergency Contact on my caregiver’s information form.
If a situation occurs that requires that I share information without your written permission, I will make every effort to fully discuss it with you before taking any action. In most situations, in order to release any information to another party, I will ask that you sign an Authorization to Release Information. You may revoke your authorization at any time.
No Secrets Policy: In Family Therapy, or when different family members are seen individually by the same therapist, confidentiality and privilege do not apply between the parties.
In the event of my incapacitation, disability or death, I have authorized my colleague, Isabelle George, LMFT to have access to my client files and my appointment book. As a licensed marriage and family therapist, she is bound by confidentiality as well. Ms. George can be reached at 619-784-3884