Informed consent form

Patient obligations

Attendance and collaboration during sessions is crucial to the therapeutic process and the ultimate attainment of one’s goals.

Therapist obligations

The therapist will explain the process of therapy and work with the patient toward establishing realistic therapeutic goals.

Exceptions to confidentiality

Trust between a patient and a therapist is crucial to the process of treatment. Nonetheless, there are certain situations in which the confidentiality of the patient-therapist communication is not protected. Specifically:

  • Serious threats to harm self or others. These are not considered confidential and will lead to appropriate and immediate action.
  • Acts of child or elder abuse (physical, sexual, and/or emotional) must be reported.
  • If the patient is under 18, sessions cannot be kept confidential from the parents or legal guardian. However, for treatment to be most effective, parents can give their child permission to keep the therapy communications between the child and the therapist confidential.