Please print off the appropriate forms needed for your counselor and have them completed by your initial session. Don't worry if you are having trouble. Your therapist will answer any questions you might have. Thank you in advance.

bcs_adult_new_client_form_2.docx | |
File Size: | 24 kb |
File Type: | docx |

bcs_child_new_client_form.docx | |
File Size: | 34 kb |
File Type: | docx |

telehealth_services.docx | |
File Size: | 30 kb |
File Type: | docx |

bcsrelease1.doc | |
File Size: | 32 kb |
File Type: | doc |

bcsservicepolicies2.docx | |
File Size: | 29 kb |
File Type: | docx |

07_-_confidential_channel_comm2.doc | |
File Size: | 37 kb |
File Type: | doc |

10_-_notice_of_privacy_practices.doc | |
File Size: | 81 kb |
File Type: | doc |
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bcssafetyplan.doc | |
File Size: | 35 kb |
File Type: | doc |
Confidentiality:
At Borst Counseling Services, we are committed to your privacy. Confidentiality is primary to the development of the counseling relationship with children, adolescents and adults. The information you share with your therapist is held in the highest confidence and may not be released to anyone without your written consent as prescribed by law. There are a few exceptions to this, which are also regulated by State law. For example, in cases of suspected child or elderly abuse, or if a person poses a serious and imminent danger to her/himself or someone else, your therapist is mandated by law to report this information to the proper authorities. Information subpoenaed by a valid court order is usually not protected by this limit on confidentiality.
Additionally, some insurance companies require limited treatment information including diagnosis, and in some cases information about presenting symptoms and treatment planning. It may also be appropriate for your therapist to discuss your care with professional colleagues for consultation, supervision, and coordination of care. These are the only exceptions to otherwise 100% confidentiality of what you talk about during therapy.
Confidentiality:
At Borst Counseling Services, we are committed to your privacy. Confidentiality is primary to the development of the counseling relationship with children, adolescents and adults. The information you share with your therapist is held in the highest confidence and may not be released to anyone without your written consent as prescribed by law. There are a few exceptions to this, which are also regulated by State law. For example, in cases of suspected child or elderly abuse, or if a person poses a serious and imminent danger to her/himself or someone else, your therapist is mandated by law to report this information to the proper authorities. Information subpoenaed by a valid court order is usually not protected by this limit on confidentiality.
Additionally, some insurance companies require limited treatment information including diagnosis, and in some cases information about presenting symptoms and treatment planning. It may also be appropriate for your therapist to discuss your care with professional colleagues for consultation, supervision, and coordination of care. These are the only exceptions to otherwise 100% confidentiality of what you talk about during therapy.
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