Limitations to Confidentiality / Client Rights

LIMITATIONS TO CONFIDENTIALITY/CLIENT RIGHTS

The confidentiality of Thrive Counselling clients is of utmost importance to all staff. The agency is required to obtain your informed written consent before releasing or obtaining any information except where authorized by legislation or directed by the courts. These exceptions are as follows:

In certain limited circumstances your counsellor/therapist is required by law to disclose client information, and must comply with these mandatory obligations. These circumstances include, but are not limited to: significant concern about the safety of a child (physical or sexual safety) or significant emotional harm (which includes situations and/or behaviours that seriously interfere with a child’s development or functioning); files being subpoenaed; search warrants.
In addition, it is a condition of the counselling relationship that your counsellor/therapist will release what would otherwise be confidential information if there is reason to believe that you represent a significant and immediate threat of death or serious injury to yourself or others. Thrive Counselling will take whatever steps necessary to avert danger to a client or others. The threat of harm will always take priority over confidentiality. Thrive Counselling has adopted this policy for the welfare of our clients, staff and the community at large.

Additionally, in an agency such as ours, there is sometimes a need for your counsellor/therapist to share pertinent personal information within the agency to other professional staff, administrative staff, and appropriate accredited bodies, who are ethically and strictly bound to maintain confidentiality.

If you are concerned about any aspect of these limitations to confidentiality, please discuss your concerns with your counsellor/therapist.

All fields marked with an * are mandatory.
Understanding of Limitations to Confidentiality*
- Yes, I understand the above limitations to confidentiality.
Consent to Services*
- Yes, I am consenting to counselling services (telephone, video, and/or in-person), understand that limitations described above apply to any direct or indirect information acquired through virtual contacts (telephone, email) and am providing my email address to Thrive Counselling.
Consent to Quality Assurance Review*
Please indicate whether you are or are not willing to have the counselling record reviewed for quality assurance purposes by accreditation staff from the Canadian Centre for Accreditation.
- Yes. I am willing to have my/our counselling record reviewed for quality assurance purposes by accreditation staff from the Canadian Centre for Accreditation.
- No. I am unwilling to have my/our counselling record reviewed for quality assurance purposes by accreditation staff from the Canadian Centre for Accreditation
Your Rights*
Please indicate that you have been informed of my/our rights as outlined in "Your Guide to Our Services" and consent to participate in counselling.
- Yes, I have read the "Your Guide to Our Services" information.
Appointments*
- Yes, I am aware that non-attendance at appointments, late and frequent cancellations, or recurring rescheduling of appointments may result in discontinuation of the current service.
Name*
First Name Last Name
Email*
Enter Email Confirm Email
Signature
If you are using a touch screen or a mouse, please sign in the box below. Otherwise entering your legal name in the name field will be taken as your signature.
Today's Date: 06/17/2025