As part of providing a mental health / therapeutic service to you, we will need to collect, record & retain certain personal information relevant to your case. You may view and/or request a copy of this information at any stage in writing from your practitioner (an administrative fee may be incurred). All such information will remain confidential and will not be released without written consent or permission except where it is subpoenaed by a court or required by law.
(You may also elect sign a separate authority to disclose so information can be shared with your other treating practitioners).