MHI-LB Policies

Confidentiality is a cornerstone of appropriate mental health care, and is also protected by the law. Thus, we generally can only release information about our work with written permission. Several exceptions do exist. For example, insurance companies generally require some basic information if you choose to seek reimbursement. Electronic Health Records are also third parties that are subject to similar confidentiality standards. Additionally, there are several instances in which mental health professionals are required by law to report or take action: (a) Making provisions for your safety if there is a threat of imminent harm to yourself, (b) Taking protective actions (including notifying potential victims or police) if there is a threat of serious bodily harm to others, (c) Reporting potential child, elder, or dependent abuse, (d) Legal testimony if subpoenaed/ordered by a court, and (e) Assisting in accessing services if a patient is unable to meet their basic needs (including food, clothing, and/or shelter) due to a mental illness. Please note that these exceptions are rare and it is our goal to always maintain strict confidentiality.

Email is not a confidential means of communication. As such, clinical information should not be sent via this form of communication. This includes any information pertaining to diagnosis, medications, therapy, etc. As a convenience to you, our providers and staff are willing to send basic information and also schedule appointments via email. However, as stated, we are careful about engaging in any clinical discourse via email. This information should be addressed during scheduled appointments, and over the phone if urgent. By providing us your email address on the patient information form, you are agreeing that email is an acceptable form of communication for you despite its limitations with respect to confidentiality.