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10 Street Name, City Name

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555-555-5555

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CONFIDENTIALITY POLICY

CONFIDENTIALITY POLICY

  1. That the therapist notify relevant others if he judges that a client has any intention to harm either him or herself or another individual
  2. Report any incident of suspected child abuse, neglect, or molestation in order to protect the child or children involved.
  3. That in legal cases, the therapist or his records may be subpoenaed by the court. In such instances, the therapist will disclose as little information as possible and only enough to satisfy the requirements of the court. 
  1. That the therapist notify relevant others if he judges that a client has any intention to harm either him or herself or another individual
  2. Report any incident of suspected child abuse, neglect, or molestation in order to protect the child or children involved.
  3. That in legal cases, the therapist or his records may be subpoenaed by the court. In such instances, the therapist will disclose as little information as possible and only enough to satisfy the requirements of the court. 
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