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Blue Mountains
Blue Mountains

Privacy & Policy


Confidentiality & Privacy Policy
By law, any psychologist (or mental health clinician) should provide you with a copy of their Notice of Privacy Policies to Protect the Privacy of your Health Information.  Click Here to read mine. 

Prior to your first session, please read the Notice and print out and sign the Signature page indicating that you received the Notice. 

In summary, the relationship between a client and a psychologist is confidential, and information cannot be disclosed without written permission.

Exceptions include:

  • Suspected child abuse or dependent adult or elder abuse;  I am required by law to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm or death to another person/s, I must notify the police and inform the intended victim.
  • If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.
  • Insurance providers typically require basic information to process claims or authorize treatment.
  • A court issues a legitimate court order requiring me to produce records in matters for which your emotional state is an important element such as child custody or adoption proceedings, legal proceedings related to psychiatric hospitalizations and in malpractice and disciplinary cases brought against psychologists.


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Helpful Forms

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