Informed Consent

Nature of services

Counseling is a collaborative process. Together with your counselor you identify goals, explore relevant history and patterns, and work on skills or changes that support those goals. Approaches are evidence-informed and adapted to your situation.

Benefits and risks

Many people experience improved coping, clearer understanding of themselves, and better relationships. Counseling can also involve discussing uncomfortable material, and you may temporarily feel more distressed. Outcomes vary and cannot be guaranteed. You may stop at any time.

Confidentiality and its limits

Information shared in sessions is confidential except where disclosure is required or permitted by law, including:

• Suspected abuse or neglect of a child, elder, or vulnerable adult.
• A serious and imminent threat of harm to you or an identifiable other person.
• A valid court order or other legal requirement.
• Where you provide written authorization to release information.

Appointments and fees

Session length, frequency, and fees are agreed in advance and listed on the Fees & Payment page. Cancellation and no-show terms apply to all scheduled appointments.

Records

Your counselor maintains a clinical record as required by professional standards and state law. You may request access to your record, subject to limited exceptions described in the Notice of Privacy Practices.

Communication between sessions

Email, text, and website forms are not secure for clinical content and are not monitored outside office hours. Use them only for scheduling and administrative matters.

Emergencies

This practice does not provide emergency or on-call crisis coverage. In an emergency call 911 or call or text 988.

Your rights

• Ask questions about methods, goals, and alternatives at any time.
• Request a referral to another provider.
• End counseling at any time.
• Receive a Good Faith Estimate of expected costs if you are self-pay or uninsured.

Complaints

Concerns can be raised directly with your counselor or the practice, and may also be directed to the relevant New Hampshire licensing board for your clinician's profession.