Maintaining client confidentiality is extremely important to your counselor and it is his responsibility to take proper care and consideration to prevent unnecessary disclosure to others. Information about the client will only be released with his or her permission, with the exceptions of the following:
The counselor believes that someone is seriously considering harm to self
The counselor believes that someone intends to cause harm to others
The counselor suspects abuse, neglect, or exploitation of a minor or of an incapacitated adult
If the client provides or signs a written request for the release of information
If the client is a minor, their parent/guardian will need to provide consent for counseling and for release of any information.
Privacy of the Counselor
Although the internet provides the appearance of anonymity and privacy in counseling, privacy is more of an issue online than in person. The client is responsible for securing their own computer hardware, internet access points, chat software, email and passwords. The counselor has a right to his or her privacy and may wish to restrict the use of any copies or recordings the client makes of their communications. Clients must seek the permission of the counselor before recording any portion of the session and/or posting any portion of said sessions on internet websites such as Facebook or YouTube.
The counselor might not immediately receive an online communication or might experience a local problem with technologies used. If the client is in a state of crisis or emergency, the counselor recommends contacting a crisis line or an agency local to the client. Clients may utilize the following crisis hotlines: • 1-888-274-7472 • 1-800-SUICIDE • 1-800-273-TALK • For the Deaf: 1-800-799-4TTY
Your counselor will also work with you to identify local resources based on your location.
Please install and test software used for sessions prior to session time.
All payments will be processed through our office. The client is required to have a credit or debit card on file unless other arrangements have been made.
Disconnection of Services
If there is ever a disruption of internet services, the client may try to reach the counselor by phone at 479.263.7602.
All technology assisted counseling or supervision will comply with the Arkansas Laws as stated by the Arkansas Board of Examiners in Counseling and Marriage and Family Therapy. Any questions or concerns can be directed to this board by phone at 501-683-5800 or through their website at http://abec.arkansas.gov.
Still Waters Family Counseling TAC # SWFC1
Informed Consent for Technology Assisted Counseling and Supervision
I understand the information conveyed in the document TAC # SWFC1 as it relates to Technology Assisted Counseling from Still Waters Family Counseling. I have been given opportunity to ask questions about the document. The document explained the process of technology assisted counseling and the various risks and benefits of this with safeguards and procedures to address these.
As a reminder, Technology Assisted Counseling is being made available by all our counselors in our current State of Emergency re: COVID-19. Once the Emergency is lifted, only Peter Duncan and Curt Matzenbacher will be able to continue providing Technology Assisted Counseling due to specialized training normally required.
To show your agreement to these policies, please print and sign your name below: