Limits to Confidentiality
There are three situations in which confidentiality must sometimes be broken.
When there is a reasonable suspicion that you are at imminent risk of committing suicide or homicide, or if you describe yourself to your nurse or counselor as being at such risk, we will take action to protect your safety and the safety of others. Sometimes this will require breaking confidentiality.
Child abuse/abuse of dependent adults
If you are a legal minor and report that you are being abused by an adult caretaker, we are required by law to report this to the Iowa Department of Human Services (DHS). Similarly, if you report that you are abusing a child or a dependent adult, we are mandated to notify DHS.
In rare instances, the courts subpoena records. In such a case, we would work with you and with the court to try to limit the release of information to only that which was absolutely necessary.
If you require emergency medical or mental health care, we will provide relevant information about you to those involved in accessing and providing your care.