By checking the box below, you are indicating that you have read, understood, and are in agreement with Disclaimer 3, regarding exceptions to confidentiality:
Disclaimer 3: If at any point during your contact with PDI and/or Shanee, you indicate that you are at risk of harming yourself and/or another person, and/or if you indicate that you have abused a child or vulnerable adult, and/or if you disclose information about a situation in which an identifiable child or vulnerable adult has been or is being abused, I (Shanee) may take steps to inform your emergency contact if you provided one and/or to inform appropriate authorities. Depending on the situation, “appropriate authorities” may include 911 operators, law enforcement officers, child protective services, adult protective services, and others as needed. Also, if there is a billing issue, it may be necessary to disclose the dates and times of your appointment(s) as part of the process of resolving the issue or collecting a debt.

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