Student Counseling Session Confidentiality Agreement Form

Confidentiality Agreement

I acknowledge that my counseling session is confidential. The information shared during my counseling sessions will not be disclosed to anyone outside the counseling service except under the following circumstances:

• When there is a risk of harm to myself or others
• When required by law
• With my expressed written consent

I understand that my privacy will be respected, and any exceptions to confidentiality will be discussed with me whenever possible.