Inner Reflections Counseling Center

Confidentiality, Privacy and Informed Consent

Your confidentiality and privacy is important to us. The law protects the relationship between a client and a therapist, and information cannot be disclosed without written permission unless legally required.

Exceptions include, but might not be limited to:

• Child abuse or dependent adult or elder abuse, that fall under mandatory reporting to report this to the appropriate authorities immediately.

  • Note: if you have knowledge yourself of abuse or neglect and report this to your therapist secondarily, IRCC will encourage you to take the steps to report yourself. If you chose not to, IRCC may report as a secondary party and provide your contact information, as the agency and/or its therapists would not have the necessary details or identifiable information that the appropriate authority may need.

• If a client is threatening serious bodily harm or death, where intent and means are present, to another person, I must notify the police and inform the intended victim.

• If a client intends to harm himself or herself, reasonable efforts will be made to enlist cooperation in ensuring their safety. If they do not cooperate, further measures without permission that are provided by law in order to ensure safety will be taken.

• Notification: We may notify family members or others responsible for your care in emergencies, providing only necessary health information.

• Specialized Government, Court Orders, Public Health, Mandatory Reporting, Duty to Warn, Workers Compensation, Health Oversight, Law Enforcement: Disclosures are made as required or permitted by law.

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Every person in Nebraska who has reasonable cause to believe a child has been subjected to abuse or neglect is a mandatory reporter. If you know of a child or vulnerable adult being abused or Neglected, we encourage you to call and report it to 

• National Hotline: 1-800-4-A-CHILD (1-800-422-4453).

• Nebraska Specific Hotline: 1-800-652-1999.

• Colorado Specific Hotline: 1-844-CO-4-KIDS.

• Online Reporting (NE): neabusehotline-dhhs.ne.gov.

• APS hotline (800) 652-1999

When reporting When calling, be prepared to provide the victim's name, age, address, and the reasons for your concern, including descriptions of physical injuries or signs of neglect.​

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IRCC does not have hospital admitting privileges nor do we have the authority to get insurance authorization for services that do not fall under our practice including but not limited to: IOP, inpatient, or partial care.  If you care involves a higher level of care you will be directed to the facility or your insurance for admittance and billing questions.

Informed Consent: We need to obtain consent to receive therapy prior to conducting your first session.  This will also cover dual relationships and privacy.

For more information please consult the Confidentiality and Privacy Policy below and the Informed Consent, Office Policies and General Information Agreement for Psychotherapy Services or Informed Consent for Psychotherapy.

IRCC Privacy Policy

Informed Consent, Office Policies and General Information Agreement

Other information

Mental Health Advanced Directives - Note, Inner Reflections, it's employees, associates, affiliates, or contracted laborers are not legal experts. We require all legal questions to be directed to those licensed and customary to answer/work with the legal aspects. The link offered redirects to a Nebraska DHHS resource managed by dhhs.ne.gov.

Voter Registration - Note, Inner Reflections, it's employees, associates, affiliates, or contracted laborers are not experts with voting or voting rights. If you do have questions you are encouraged to contact your local county or government office, or community support agency.

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Note: please contact the agency for the latest forms, rates and consent