You as the client have a right to confidentiality of all that is said  and discussed in our counseling sessions. There are exceptions to  confidentiality when you provide me with written permission in the form  of a release of information to disclose identified information from our  counseling sessions to an identified third party. There are also certain  pieces of your information that will need to be shared with your  managed care company for reimbursement purposes and that may be shared  for consultation or supervision purposes. Also in the case of a medical  emergency or if you were to bring accusations of misconduct against me,  your rights to confidentiality can be waived. We can discuss your  questions about confidentiality at any time. 
 
Information that is shared in your counseling sessions will be kept  confidential unless it falls under one of the following exceptions.  However, even in these exceptions, I do my very best to share with you  first what information from your counseling sessions I will have to  share with a third party so you are fully informed. 
 
1. If it is determined that you are a danger to yourself or to an  identified third party then confidentiality can and will be breached. 
2.  The client-counselor confidentiality agreement can also be waived when  there is evidence or suspicion of child, dependant adult or elder abuse.  
 3. Confidentiality will be breached if your information is subpoenaed in court.