Your privacy is my priority. I follow the ethical guidelines of the AAMFT, as well as the Federal HIPPA guidelines, to ensure that your privacy is protected. Your information may only be disclosed in the following circumstances:
1. Suspected child abuse
2. Suspected elder abuse
3. Threat of harm to self
4. Threat of harm to others
5. A signed written release of records is in place.
Please understand that, if you choose to communicate with me via email, this is not considered a secure form of communication. Also, be aware that I do not accept invitations to social networking media (i.e., Facebook, LinkedIn) from clients in order to protect their privacy and maintain professional boundaries.
If you have any questions or concerns about my confidentiality practices, I would be happy to discuss them with you.
1. Suspected child abuse
2. Suspected elder abuse
3. Threat of harm to self
4. Threat of harm to others
5. A signed written release of records is in place.
Please understand that, if you choose to communicate with me via email, this is not considered a secure form of communication. Also, be aware that I do not accept invitations to social networking media (i.e., Facebook, LinkedIn) from clients in order to protect their privacy and maintain professional boundaries.
If you have any questions or concerns about my confidentiality practices, I would be happy to discuss them with you.
| Individual Intake Form |
| Informed Consent |
| Client Questionaire |
| Minor Individual Intake Form |
| Couples Intake Form |
5 Christy Drive, Suite 102 | Chadds Ford, PA 19317 | Phone: 215-840-2311 | Fax: 610-459-9860
