Confidentiality
All of the information shared during the session is kept confidential unless a written release is approved and signed by
you. Certain legal limits on confidentiality do exist and do not need a release from you:
· If there is convincing evidence that you are in immediate danger to yourself or others. Legal action may
be taken for your own protection and that of others.
· If you are involved in a medical emergency.
· Incidents of child or elder abuse, including physical, sexual, or neglect must be reported by me to the
necessary agencies.
· a court of law may subpoena information and may order release of information.
Cancellations/No shows
If you need to cancel, I ask that you do so with at least 24-hour notice of the scheduled appointment. Fifty percent of
payment is expected if cancellations are less than 24-hours. If you no show, full payment is required.
Fees
Payment is due at the time of session. I do not provide direct billing for insurance at this time. A $25 charge will be taken
on all returned checks.
Hygiene
I require that you are clean, having bathed the same day as the session. If you fail to meet this requirement, the session
will be ended.
Client's Rights and Responsibilities
You have the right to terminate our therapeutic relationship at any time. You have the right to informed consent. Sexual
intimacy between client and therapist is prohibited. You will be draped at all times. All cell phones will be turned off or
silenced before the session begins.