For certain health information, you can tell me your choices about what I share. If you have a clear preference for how I share your information in the situations described below, talk to me. Tell me what you want me to do, and I will follow your instructions.

 

In these cases, you have both the right and choice to tell me to:

 

In these cases I never share your information unless you give me written permission:

 

In the case of fundraising:

 

Share information with your family, close friends, or others involved in your care

 

Share information in a disaster relief situation 

 

Include your information in a hospital directory

 

If you are not able to tell me your preference, for example if you are unconscious, I may go ahead and share your information if I believe it is in your best interest. I may also share your information when needed to lessen a serious and imminent threat to health or safety.

 

Marketing purposes


Sale of your information


Most sharing of psychotherapy notes

 

I will never contact you for fundraising efforts