Our communication is confidential, but the following additional limitations and expectations do exist.

1. I determine that you are a danger to yourself or someone else.
2. You disclosed abuse, neglect, or exploitation of a child or an elderly or disabled person.
3. You disclose sexual contact with another mental health professional.
4. I am ordered by a court to disclose information.
5. You direct me to release your records.
6. I am otherwise required by law to disclose information.

If I see you in public, I will protect your confidentiality by acknowledging you only if you approach me first.

In the case of marriage or family counseling, I will keep confidential (within limits cited above) anything you disclose to me without your family member's knowledge. However, I encourage open communication between family members and I reserve the right to terminate our counseling relationship if I judge the secret to be detrimental to the therapeutic progress.

I have provided a Microsoft Word file and an Adobe Acrobat file. You can choose either format to download and print as you are required to sign and date the document. At your first session I will review it with you. If you have any questions, please let me know prior to signing the document.