Confidentiality Agreement

Information that you provide during treatment is confidential and will not be released to persons outside the HHS or the UCC unless you sign a statement authorizing such a release. Separate files will be maintained for each partner participating in couples treatment. The UCC includes the Learning Assistance Program (LAP), Outreach and Prevention Program (OPP), Stress Management Program (SMP), and Drugs, Alcohol, and You Programs (DAY). Exceptions to confidentiality as mandated by law are as follows: imminent danger to yourself or others, child/elder abuse, grave disability, subpoenaed records, and threat to national security. In addition, information that you provide to the HHS and the UCC will be stored in a secured electronic format. Any digital recordings of treatment are not considered to be a part of your clinical record. The digital records are used exclusively for supervision purposes and will be erased after use. This information is utilized for administrative purposes and to aid staff in delivering the highest quality health services to our clients. Information you choose to provide via e-mail or the internet may not be accessed and read immediately and cannot be guaranteed confidential.