At Kendal Clinic, we take your privacy and confidentiality seriously. This form allows you to give written permission for us to share specific mental health information with another person, provider, or organization of your choosing. We understand that sharing personal information is an important decision, and we are committed to making sure you feel informed, respected, and in control throughout the process.
We encourage you to read through the form carefully. If anything is unclear or you are unsure about what to include, feel free to ask questions. We are here to support you and help you make the best decision for your care.
Your trust means a great deal to us. We are committed to handling your personal information with care, professionalism, and respect for your privacy.
If you would like to discuss any part of this form with your therapist or a member of our administrative team, please do not hesitate to reach out.