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Your patient feels the same need to have the notes be private.Office staff, filing clerks, billing agencies, and others do not have the same burden of confidentiality as does the clinician.Patient records should be kept in locked containers except when in use.They should be shredded when they are discarded to avoid the potential of having the notes fall into the hands of others.(c) The personal representative of the patient if the patient is dead.Except as otherwise provided the patient, has a privilege to refuse to disclose, and to prevent another from disclosing, a confidential communication between patient and psychotherapist if the privilege is claimed (a) by the holder of the privilege.

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Informed consent and confidentiality are important anchors to the principle of autonomy.

While laws are frequently cited within the text of this paper, you should be aware that laws can be interpreted differently depending on the specific situation.

This is a course which will provide you with an understanding of basic ethical issues which therapist often face but if you find yourself in a difficult situation in which you do not clearly understand what you should do, it is of vital importance that you take the matter seriously and consult with colleagues, an attorney, or an ethics review committee.

Often my patients who work for or with counselors in the community or in government report cases which are confidential which they have read with avid interest. Holder of Privilege Holder of the privilege means: (a) patient when he has no guardian or conservator.

(b) A guardian or conservator of the patient when the patient has a guardian or conservator.

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