Limits to Confidentiality Limits to ConfidentialityLIMITS OF CONFIDENTIALITY All therapy sessions at MBS Performance Counseling, LLC are considered confidential. In most cases, verbal information and written records about a client are protected by confidentiality unless written consent of the client or the client’s legal guardian is given prior to the release of information. However, there are times when there are legal limits to a client’s confidentiality. Below are the situations that would cause MBS Performance Counseling, LLC to break patient confidentiality without receiving prior written permission: Duty to Warn and Protect When a client discloses intentions or a plan to harm another person, the mental health professional is required to warn the intended victim and report this information to legal authorities. In cases in which the client discloses or implies a plan for suicide, the health care professional is required to notify legal authorities and make reasonable attempts to notify the family of the client. Abuse of Children and Vulnerable Adults If a client states or suggests that he or she is abusing a child (or vulnerable adult) or has recently abused a child (or vulnerable adult), or a child (or vulnerable adult) is in danger of abuse, the mental health professional is required to report this information to the appropriate social service and/or legal authorities. Prenatal Exposure to Controlled Substances Mental Health care professionals are required to report admitted prenatal exposure to controlled substances that are potentially harmful. Minors/Guardianship Parents or legal guardians of non-emancipated minor clients have the right to access the clients’ records. Insurance Providers (when applicable) Insurance companies and other third-party payers are given information that they request regarding services to clients. Information that may be requested includes, but is not limited to types of services, dates/times of service, diagnosis, treatment plan, description of impairment, progress of therapy, case notes, and summaries. I agree to the above limits of confidentiality and understand their meanings and applications. Name* Date* Email* By clicking below I verify:*I have read and understand the Limits to ConfidentialitySubmitReset
