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Parent Agreement to Respect Privacy

Parent/Caregiver:

By agreeing to this policy you acknowledge that the Informed Assent Form has been reviewed by you and your minor and that you agree to respect your adolescent or teen’s privacy:

Agree to refrain from requesting detailed information about individual therapy sessions with my child. I understand that I will be provided with periodic updates about general progress, and/or may be asked to participate in parent therapy sessions as needed.

Understand that I will be informed about situations that could endanger my child. I know this decision to breach confidentiality in these circumstances is up to the therapist’s professional judgment and may sometimes be made in confidential consultation with their consultant/supervisor.

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Emergency

The 988 Suicide and Crisis Lifeline provides 24/7, confidential support with trained crisis counselors.

If you or a loved one is in emotional distress or a suicidal crisis, please call or text 988.

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