Office Practices at Karner Psychological Associates

Confidentiality: The foundation of services at KPA

If you choose to use your health insurance, your insurance company will know of your visits and your diagnosis. Managed care companies generally require also that they be informed of other details of your situation so that they can determine whether the services are medically necessary.

If you are assessed to be suicidal and/or homicidal then steps will be taken to insure your safety and/or the safety of others, even though that might break confidentiality. Similarly, if there is child abuse occurring, all mental health workers are ethically and legally mandated to report the incident’s) to Child Protective Services. Typically these situations are discussed with the patient before any action is taken.

Assessments and therapy that are requested/mandated by an outside agency (e.g., family court, a school district) generally require that session information be shared with the mandating agency, thereby reducing confidentiality.

If you have questions or concerns about the extent of confidentiality in your individual situation, please be sure to discuss them with your therapist. This is especially important for couples and family therapy, to insure that everyone understands and is comfortable with the amount of information to be shared.

Information about your contact with KPA can always be released to anyone you choose, with your written consent. Patients often request that information be released to their primary care physician, teachers, employers, etc. for various reasons. If the sharing of information will be extensive, there may be additional charges to the patient for the service. This can be discussed with your therapist.

Client contact with all KPA staff is strictly confidential, thus insuring that therapy may be as useful as possible. There are certain exceptions however of which you should be aware.

No Show Policy: Appointments that are not canceled at least 24 hours beforehand are charged full fee; insurance companies will not cover any portion of a missed appointment, making the entire cost (not just the usual copay) the responsibility of the client.