Rhonna W. Phillips
Counseling & Therapy Services, LLC

LPC-S and LMFT

 
     
   
     
 

Email: RPhillips@BirminghamCounselor.com
Website: www.BirminghamCounselor.com
Work Cell: (205) 356-9834
Mailing Address: P.O. Box 26387 Birmingham, AL 35260
Physical Address: 1320 Alford Avenue Suite 101 Birmingham, AL 35226

 
     
 

CONFIDENTIALITY:

Print "How Confidentiality Works" form.

Print "HIPAA  Notice of Privacy Practices and Client Rights" form.

Your expectations of confidentiality are a critical part of how Counseling can be helpful.  Therefore it is important for you to fully understand what level of privacy to expect and also what the legal limitations are.
 
From the age of 14 and up you are entitled to access medical/mental health treatment at your will and without the notification or consent of any parent, guardian or spouse, etc.  Thereby it is your choice if you Request or Consent to Release any Information re: your treatment.  You can limit what is released and you can revoke this consent at any time.  For multiple participants, all must be in agreement or I can only release a summary that is specific to the requestor only!

Your privacy is important to me.  I will refer to you by your first name.  I will not acknowledge you in public unless you initiate this.  The outer office remains locked.  My office door is locked and your files are kept in my locked cabinet.  My computer and work cell phone are password protected.  While working with me, if you see any potential for privacy leaks please make me aware so I can resolve these immediately.

If your treatment causes me to seek professional consultation, I will use every precaution so as to not give any identifying information.  If I am incapacitated my confidential records’ custodian and emergency Clinical Coordinator designee is Angel Jernigan, LPC 205-538-4710.
       
It is critical that you understand the circumstances in which, BY LAW, I AM REQUIRED TO REPORT limited information you have disclosed.

1.  If there is suspicion of ABUSE of vulnerable persons such as children, the elderly, the disabled… I must notify The Department of Human Resources (DHR).
2.  If you are at imminent risk of committing SUICIDE or seriously harming yourself. 
3.  If you are at imminent risk of seriously harming or KILLING another person.  I have a DUTY TO WARN.  For both #2 and #3 the Police and Emergency Medical Services (EMS) would be notified unless you agree to have your designee transport you immediately & voluntarily to the Psychiatric Hospital.  If you have a communicable DISEASE that can be fatal, and you have intent to put a person at this risk, I have a duty to report it to the local Health Authorities & to warn the person at risk of harm.
4.  If a JUDGE orders me, I have no choice, and must provide the records or testimony ordered.