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NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW CLIENT
INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Our commitment here at Pathways Christian Counseling is to serve our
clients with professionalism and caring, being sure at all times to protect
the privacy and security of all Protected Health Information. During the course of serving your interests it may be necessary to share
information with other Health Care Providers or Licensed Supervisors. The following are examples of instances
where information may be shared: In privileged communication, the client is protected from having
communications revealed without their explicit permission to do so. For example, we will not release
psychological reports about you to schools, agencies, physicians, etc.,
without your written approval. There
are exceptions to this statement on confidentiality, which are outlined
below. · The therapist may discuss your
case with a supervisor as a means of determining the most appropriate
diagnosis or treatment plan. · If your fees are paid by a third
party (such as an insurance company), certain details of your treatment (e.g.
dates, treatment and diagnosis) must be revealed to obtain
reimbursement. Many insurance
companies now allow you to file claims directly with them so that your
employer will not see this information. · If a client reveals information
that indicates a clear danger of injury to him/herself or to others, the
therapist will need to contact appropriate authorities or family members. · By Ohio law, we have a legal
responsibility to notify appropriate social agencies of any suspicion or
knowledge of the physical or sexual abuse or neglect of a child, a disabled
person, or an elderly person. We here at Pathways Christian Counseling are committed to obeying all
Federal, State and Local laws and regulations regarding Privacy
Practices. If any other uses or
disclosures than the ones listed above are needed, information will only be
released with the written authorization of the individual in question. This written authorization maybe revoked at
any time by the individual, as provided for by law. If you have any questions or comments regarding your Protected Health
Information, feel free to contact our Compliance Officer. Client Copy |