Confidentiality, Harm and Inquiry. Information from my (or my child’s) evaluation and treatment is contained in a confidential medical record at Gladstone Psychiatry & Wellness, LLC. I consent to disclosure and use of this information by Gladstone Psychiatry & Wellness, LLC for the purpose of continuity of care. In accordance with Gladstone Psychiatry & Wellness’ Privacy Practices and Patient Rights, and Maryland State Law, all patient information will be kept confidential with certain exceptions, including, without limitation, the following: a. The patient presents an imminent danger to self or others. b. There are reasonable concerns of abuse or neglect of a child or vulnerable adult. c. A court order or subpoena is issued.
Appears in 6 contracts
Samples: Patient Care and Financial Responsibility Agreement, Patient Care and Financial Responsibility Agreement, Patient Care and Financial Responsibility Agreement
