507A Thornhill Drive

Carol Stream, IL 60188

   630-752-9750

 

Centrally located near Wheaton and Glen Ellyn

just north of Geneva Road (across from Home Depot)

 

 

 

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    Full HIPAA Disclosure


   
Confidentiality

The law protects the privacy of all communications between a patient and psychologist.  In most situations, your counselor at Central DuPage Pastoral Counseling Center (CDPCC) can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA and /or Illinois law.  

However, in the following situations, no authorization is required:

  • Your counselor may occasionally find it helpful to consult other health and mental health professionals about a case.  During consultation, he or she will make every effort to avoid revealing your identity.   The other professionals are also legally bound to keep the information confidential.  If you don’t object, your therapist will not tell you about these consultations unless he or she feels that it is important to your work together.  Your counselor will note all consultations in your Clinical Record (office contacts with insurance companies will be in PHI.  Therapist contacts will be in psychotherapy notes).

  • You should be aware that we practice with other mental health professionals and that we employ administrative staff.  In most cases, we need to share protected information with these individuals for both clinical and administrative purposes, such as scheduling, billing and quality assurance.  All of the mental health professionals are bound by the same rules of confidentiality.  All staff members have been given training about protecting your privacy and have agreed not to release any information outside of the practice without the permission of a professional staff member.

  • We also have contracts with insurance companies, psychiatric consultants, professional schools (practicum students), legal services, accounting firms, electronic billing organizations, computer consultants and collection agencies.  As required by HIPAA, we have a formal business associate contract with this/these business(es), in which it/they promise to maintain the confidentiality of this data except as specifically allowed in the contract or otherwise required by law.  If you wish, your counselor can provide you with the names of these organizations and/or blank copy of this contract.

  • Disclosures required for health insurers or for overdue fees are discussed elsewhere in this Agreement.

  • If you are involved in a court proceeding and a request is made for information concerning your diagnosis and treatment, such information is protected by the psychologist-patient privilege law.  Your counselor cannot disclose any information without a court order.  If you are involved in or contemplating litigation, you should consult with your attorney to determine whether a judge would likely to order your counselor to disclose information.

  • If a government agency is requesting the information for health oversight activities, we may be required to provide it for them.

  • If a client files a complaint or lawsuit against a therapist at CDPCC, the therapist may disclose relevant information regarding that client in order to defend his or her self.

  • If you file a worker’s compensation claim, your counselor in rendering treatment or services in accordance with the provisions of Illinois Workers’ Compensation law, may upon appropriate request, be required to provide a copy of your record to your employer or his/her appropriate designee.

There are some situations in which a counselor is legally obligated to take action, which he/she believes is necessary to attempt to protect others from harm and he/she may have to reveal some information about a client’s treatment. 

  • If a counselor has reasonable cause to believe that a child under 18 known to that counselor in his or her professional capacity may be an abused child or a neglected child, the law requires that the counselor file a report with the local office of Department of Children and Family Services.  Once such a report is filed, the counselor may be required to provide additional information.

  • If a counselor has reason to believe that an adult over the age of 60 living in a domestic situation has been abused or neglected in the preceding 12 months, the law requires that the counselor file a report with the agency designated to receive such reports by the Department of Aging.  Once such a report is filed, the counselor may be required to provide additional information.

  • If you have made a specific threat or violence toward another or if your counselor believes that you present a clear, imminent risk of serious physical harm to another, your counselor may be required to disclose information in order to take protective actions.  These actions may include notifying the potential victim, contacting the police, or seeking hospitalization for you.

  • If your counselor believes that you present a clear, imminent risk of serious physical or mental injury or death to yourself, your counselor may be required to disclose information in order to take protective actions.  These actions may include seeking your hospitalization or contacting family members or others who can assist in protecting you.

If such a situation arises, your counselor will make every effort to fully discuss it with you before taking any action and he/she will limit their disclosure to what is necessary.

 

While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is important that we discuss any questions or concerns that you may have now or in the future. The laws governing confidentiality can be quite complex, and we are not attorneys. In situations where specific advice is required, formal legal advice may be needed.  

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507A Thornhill Drive ~ Carol Stream, Illinois 60188 ~ (630) 752-9750