Confidentiality. Discussions with a psychologist are confidential and protected by law. I may not disclose confidential information about you without your formal written consent. There are situations, however, in which I am legally required to break confidentiality. These include the following: if you are in danger of harming yourself or another person, or are unable to care for yourself; if you state that you intend to physically injure someone; if there is suspected elder, dependent adult, or child abuse, or neglect; if I am court ordered to release information as part of a legal proceeding, or as otherwise required by law. Members of my staff (receptionist, office manager, and two assistants) are trained in confidentiality policies and are highly professional. I do not share details of your treatment with anyone on my staff. Your personal information is treated with absolute respect. Minors should be aware that the law may provide parents the right to examine treatment records. It is my policy to work with teens and their parents to come to an agreement about what information can be shared or kept private.

Confidentiality of E-Mail & Cell Phone Communications. It is very important to be aware that e-mail, web-based, and cell phone (also cordless phone) are not secure forms of communication, and so the privacy and confidentiality of such communication can be easily compromised. E-mails, in particular, are vulnerable to such unauthorized access due to the fact that servers have unlimited and direct access to all e-mails that go through them. If you choose to communicate with me via email or via this website, I strongly recommend that you limit such messages to issues related to scheduling of appointments.

Emergencies. If you have a psychiatric emergency (e.g., you are feeling suicidal, want to hurt someone, etc.), immediately call 911 or go to your nearest emergency room. If you live in San Francisco, you may also contact the 24-hour Psychiatric Emergency Service at San Francisco General Hospital at (415) 206-8000, or the San Francisco Suicide Hotline at (415) 781-0500. If you live in San Mateo or Santa Clara County, you may call the 24-hour Santa Clara County Crisis/Suicide Line at (650) 494-8420 or San Mateo County Suicide Hotline (650) 368-6655. If you live in Sacramento, you may contact the 24-hour Suicide Prevention Crisis Line at (916) 368-3111.

Additional Privacy Information. For further information on HIPAA regulations or your right to privacy regarding healthcare information, please visit the US Department of Health and Human Services website at www.hhs.gov/ocr/hipaa