HARBOR PSYCHOLOGICAL SERVICES, PLLC  LIMITS OF CONFIDENTIALITY DISCLOSURE

The information you provide is confidential in most situations, but there are important limits to this rule. In general, your confidential information may be shared without your permission if there is a reasonable concern for harm to the client or to someone else.

Your information may also be shared in accordance with state and federal laws and requirements for clinical supervision.  Following are situations in which your provider may be legally or ethically required to share your confidential information, even without your permission.

MALTREATMENT: The State of North Carolina requires anyone who reasonably suspects abuse, neglect, or maltreatment of a child under 18 years of age or an elder or dependent adult to report those suspicions to the proper authorities, including law enforcement and/or the appropriate Department of Social Services.

RISK OF HARM TO SELF: If a client appears to present a substantial immediate risk of harm to self, the proper authorities will be notified to ensure the safety of the client and others who may be at risk.

RISK OF HARM TO OTHERS: If a client appears to present a substantial immediate risk of harm to others, the proper authorities will be notified to ensure the safety of the client and others who may be at risk. Such notice may also include notification to any specific person at risk of immediate harm.

CLINICAL SUPERVISION: Your information may be shared in full as part of state-mandated clinical supervision with the contracted clinical supervisor. The supervisor is bound by the same confidentiality rules contained in this disclosure.

PROFESSIONAL CONSULTATION: Occasionally I may need to consult with other professionals in their areas of expertise in order to provide the best assessment and recommendations for you. In this context, information about you may be shared without using your name.