Confidential Agreement

 

The Association for Integration of the Whole Person (AIWP)

Healing & Enriching Relationships For A More Compassionate World

                                     A non-profit, 501 (c) (3) Non Profit Relationship Healing, Educational, and Non-sectarian Religious Organization

Timothy J. Ryan, Ph.D. D.Div. Director

Office Policy Regarding Confidentially

Federal law, State regulations protect the confidentiality of member’s records maintained by our office.The Association For Integration of the Whole Person (AIWP)  and The Pastoral Medical Association (PMA) as 501 (c) (3) as ecclesiastical organizations consider all information provided by Dr. Timothy Ryan, Ph.D. to be absolutely confidential and privileged by the First,  Amendment of the Constitution.  All office personnel are instructed that they may not disclose any information to anyone for any reason regarding our clients at any time. This includes all Government and Legal transactions (subpoena) and Institutions unless.

      1. All parties participating agree to release information.

      2.The disclosure is made to medical personnel in a medical emergency.

      3. The person commits, or threatens to commit, a crime at our office or against any of our office personnel.

      4. The person is dangerous to self or other.

Please note: There is no privilege if the facilitator has reasonable cause to believe that the person is in such mental or emotional condition as to be dangerous to self or to the person or property of another and that disclosure of the person's identity and threat is necessary to prevent the threatened danger.

The U.S. Constitution, Federal law and state regulations protect client confidentiality in all other circumstances including future litigation of any form.

I have read, understand and agree to abide by the above guidelines.

Thank you for contacting us!

We have received your message and will contact you shortly
Leave this field empty