LIMITS ON CONFIDENTIALITY
Your confidentiality and protection of information is of utmost importance to Movimentum Psychology. The law protects the privacy of all communication between a patient and a therapist. The information sent by the client through this site will be used only for contact purposes between Teletherapist and client.
In most situations, release of information about your treatment to others can only be done if you sign a written authorization form that meets certain legal requirements imposed by HIPAA. There are some situations where it is permitted or required to disclose information without either your consent or authorization. If such a situation arises, disclosure of your information will be limit to what is necessary. Reasons where information may have to be released without authorization:
1. If you are involved in a court proceeding and a request is made for information concerning your diagnosis and treatment, such information is protected by the psychologist-patient privilege law. No information can be provided without your (or your legal representative’s) written authorization, or a court order, or if a subpoena is received, of which you have been properly notified and you have failed to inform your Teletherapist that you oppose the subpoena. If you are involved in or contemplating litigation, you should consult with an attorney to determine whether a court would be likely to order me to disclose information.
2. If a government agency is requesting the information for health oversight activities, within its appropriate legal authority, it may be required to provide information to them.
3. If a patient files a complaint or lawsuit against a Teletherapist, relevant information regarding that patient may be disclosed in order for the Teletherapist to defend him/herself.
4. If a patient files a worker’s compensation claim, and the Teletherapist is providing necessary treatment related to that claim, the Teletherapist must, upon appropriate request, submit treatment reports to the appropriate parties, including the patient’s employer, the insurance carrier or an authorized qualified rehabilitation provider.
5. The Teletherapist may disclose the minimum necessary health information to business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. The business associates sign agreements to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.
There are some situations in which a Teletherapist is legally obligated to take actions, which are necessary to attempt to protect others from harm, and may have to reveal some information about a patient’s treatment:
1. If the Teletherapist knows, or have reason to suspect, that a child under 18 has been abused, abandoned, or neglected by a parent, legal custodian, caregiver, or any other person responsible for the child’s welfare, the law requires that a report is filed the Department of Children Protective Services/Department of Children and Families. Once such a report is filed, it may be required to provide additional information.
2. If the Teletherapist knows or have reasonable cause to suspect, that a vulnerable adult has been abused, neglected, or exploited, the law requires that a report is filed with the Department of Human Services/Department of Children and Families. Once such a report is filed, it may be required to provide additional information.
3. If the Teletherapist believe that there is a clear and immediate probability of physical harm to the patient, to other individuals, or to society, it may be required to disclose information to take protective action, including communicating the information to the potential victim, and/or appropriate family member, and/or the police or to seek hospitalization of the patient
When the Teletherapist provides phone/video-counseling sessions, the Teletherapist will call you at the scheduled time or send you link for the secure and HIPAA compliant video session. It is expected that you are available at the scheduled time and are prepared, focused and engaged in the session. The Teletherapist will be calling you from a private location where she/him is the only person in the room. You also need to be in a private location where you can speak openly without being overheard or interrupted by others to protect your own confidentiality. If you choose to be a in a place where there are people or others can hear you, the Teletherapist cannot be responsible for protecting your confidentiality. Every effort MUST be made on your part to protect your own confidentiality. It is suggested that you wear a headset to increase confidentiality and also increase sound quality of the sessions. Please know that the Teletherapist cannot guarantee the privacy or confidentiality of conversations held via phone, as phone conversations can be intercepted either accidentally or intentionally. Please assure you reduce all possibilities of interruptions for the duration of our scheduled appointment.
Please know that per best practices and ethical guidelines the Teletherapist can only practice in the state(s) he/she is licensed in. That means wherever you reside the Teletherapist must be licensed. You agree to inform your Teletherapist if your therapy location has changed or if you have relocated your domicile to a different jurisdiction.
Recording of Sessions:
Please note that recording, screenshots, etc of any kind of any session is not be permitted and are grounds for termination of the client-therapist relationship.
Payment for Services:
Payments for services must be made prior to each session. The Teletherapist will charge your card on file or send you an invoice before the session. Payment is to be completed prior to our session.
If you must cancel or reschedule an appointment, 24-hour advanced notice is required, otherwise you will be held financially responsible. Should you cancel or miss an appointment with notification less than 24 hours this will result in being charged the cancellation fee of your full session for your missed appointment. Cancellations must be communicated by phone, NOT email or text. If clients have more than 3 cancellations during the course of treatment/therapy the therapist and client will address the need for ongoing therapy. Should a client express and wish and/or desire to continue a client may be asked to pre-pay for sessions when they are scheduled. If the client cancels or misses the session with less than 24 hours notice and the session is pre-paid, this follows the cancelation guidelines and the payment will not be reimbursed for the missed or canceled session less than 24 hours. Phone/video sessions should be treated as regular in office sessions. If you are late getting on the phone, are unable to talk at the scheduled time, your battery has died and you are unable to access another confidential place to talk, or any other variable that would have you not be able to attend our session please know that you will be charged for the session. Please make the necessary arrangements you need to be available and present for your session.
Emergencies and Confidentiality:
An emergency contact will be requested for you and you will have to list the person’s first and last name, relationship and phone.
The address from which you are calling and the number to your local police department including area code in the area in which you are located during the time of our call will be also requested.
If a situation occurs where we are talking and get disconnected and you are in crisis, you agree to call 911, go to your local emergency room immediately or contact the National Suicide Hotline at 800-784-2433.
If your Teletherapist has concerns about your safety at any time during a session, the Teletherapist will need to break confidentiality and call 911 (if located in the same county or emergency services in the area you are located at the time of the call) and/or your emergency contact immediately. Please note that everything in our informed consent that you signed, including all the confidentiality exceptions, still applies during phone/video sessions.