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Confidentiality Statement

CONFIDENTIALITY STATEMENT
SUN LEAF COUNSELING
609 Strada Circle Ste.117
Mansfield, TX 76063
817-381-0957

CONFIDENTIALITY
Session content and all relevant materials to the client’s treatment will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons.

 

Limitations of such client held privilege of confidentiality exist and are itemized below:

  1. If a client threatens or attempts to commit suicide or otherwise conducts themselves in a manner in which there is a substantial risk of incurring serious bodily harm.

  2. If a client threatens grave bodily harm or death to another person.

  3. If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.

  4. Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.

  5. Suspected neglect of the parties named in items #3 and # 4.

  6. If a court of law issues a legitimate subpoena for information stated on the subpoena.

  7. If a client is in therapy or being treated by order of a court of law, or if information is obtained for the purpose of rendering an expert’s report to an attorney.

 

Occasionally a counselor may need to consult with other professionals in their areas of expertise to provide the best treatment for you. Information about you may be shared in this context without using your name.

EMERGENCIES
You understand that Sun Leaf Counseling is not a 24-hour crisis counseling service. All services are provided by appointment only. Should you experience an emergency necessitating immediate mental health attention, immediately call 9-1-1 or go to the nearest emergency room for assistance.

CONTACT INFORMATION
Sun Leaf Counseling welcomes your questions or comments regarding this Confidentiality Statement. If you believe that Sun Leaf Counseling has not adhered to this confidentiality statement, please contact Sun Leaf Counseling at:

SUN LEAF COUNSELING
609 Strada Circle Ste.117
Mansfield, TX 76063
info@sunleafcounseling.com
817-381-0957

EFFECTIVE DATE OF THIS NOTICE
This notice went into effect on August 1, 2024.

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