Office Policies

Dr. Daley is usually available by cell phone (3608093765) after hours, but if he does not answer, and you have an emergency, you can call 1-800-584-3578 or a national crisis line at 1-800-273-8255. Dr. Daley DOES NOT PROVIDE EMERGENCY SERVICES. If you have a mental health emergency, call one of the above numbers, or 911, or go to the emergency room at the local hospital. You can also try the emergency services at the local mental health center.

Our offices require that you fill out and sign our Office Policies Agreement before receiving psychological treatment from us. The majority of the information you will keep with you can be found below, and you may pick up one of our Office Policies Agreement forms at one of our locations or download them by clicking the links below.

For Arlington

For Port Angeles

Confidentiality Policies and Procedures:

Our offices keeps a record of the health care services Dr. Daley provides to you (for example, summaries of your sessions, test results, and reports). You may ask to see and have a copy of those records, or Dr. Daley can provide you with a written or verbal summary of your records, as you prefer. You will be charged for the retrieval and copying of your records AND for a professional review (by Dr. Daley) to ensure that your records do not contain information that could harm you. These charges will be in accordance with the current acceptable fees for such practices. If the record contains references to others (e.g., your spouse), it will require special review and preparation (in order to protect their privacy), at an additional fee.

The confidentiality of psychological information is extremely strict. This office will not tell anyone that you are coming here – let alone what is discussed – except under the following circumstances:

1. You may ask Dr. Daley to disclose confidential information to someone (for example, to your physician or another therapist). If this happens he will sometimes, we will usually (HIPPA rules do not require disclosure between treating providers, but do allow disclosures) ask you to sign a release form that specifically states what information can be released, although you should be aware, again, that the laws of the land allow health care providers to communicate with each other without your permission. You must ask us not to communicate specific information to specific providers, if that is your preference. We will comply with such requests. Ideally, you should provide us with such request in writing, but if you cannot or will not, we will document the request in writing ourselves.

2. Dr. Daley may ask you for permission to disclose confidential information to another professional (for example, to consult with another therapist, psychologist, medical provider, or psychiatrist). You do not have to agree to this request. If you do agree, we will ask you to sign a release form that specifically states what information can be released. If you do not want information disclosed, except as specified below, we will honor your wishes.

3. In cases of medical emergency, if Dr. Daley knows something that could save your life, he will disclose this information without your permission. Obviously, this rarely occurs.

4. Dr. Daley is also a “mandated reporter.” This means that he is required by law to inform the proper authorities – even if you do not give your permission – if he believes you are:

4.a) of immediate danger to yourself (e.g., suicidal);

4.b) of immediate danger to others (e.g., homicidal [Dr. Daley is required to not only inform the police, but to inform potential victims, and, under certain circumstances, he may be required to have you involuntarily hospitalized]);

4.c) of immediate danger to others’ property;

4.d) unable to meet your own basic needs (for example, for food and shelter);

4.e) physically, emotionally, or sexually abusing children or a disabled person(s); or

4.f) physically, emotionally, or sexually abusing an elderly person,

Please note that some clients may think about suicide – even seriously – and Dr. Daley is NOT under any obligation to report these thoughts to anyone. Dr. Daley is only required to disclose this type of confidential information without your permission if he honestly believes you will kill yourself (or others) in the immediate future.

If you are abusing children, the disabled, or the elderly, Dr. Daley will always encourage you to make the report to the authorities yourself (things tend to go better that way). However, whether or not you make this report yourself, Dr. Daley is required by law to make such a report to authorities himself. Please keep in mind that he is here to help, he is not an officer of the law, and that every effort will be made to handle the report of such issues in a dignified and therapeutic manner.

5. A court of law may subpoena your records.

Generally, the confidentiality of your relationship with your therapist/Dr. Daley is protected by law and you will usually have the right to stop Dr. Daley from providing any information about your treatment (if it is subpoenaed), but Dr. Daley might be required to testify under certain circumstances, examples of which are:

5.a) if the court rules that other legal issues outweigh your right to the protection of your privacy (e.g., you become a mass murderer);

5.b) if a case involves custody of your children (because your mental health – and that of the other parent – may become central issues in such cases);

5.c) if a case involves questions of your emotional conditions (e.g., if you apply for benefits of some sort based on your assertion of having suffered emotional problems);

5.d) if the court rules that you have already broken confidentiality by discussing your therapy with someone else (e.g., if you talk over your therapy with your boy/girlfriend, the court might rule that you violated your own confidentiality); or

5.e) if the court sent you to us for psychological evaluation, and you agreed to participate.

6. Under Washington State Law, health care providers (including mental health providers) must or can disclose information about you under certain circumstances. Although Dr. Daley does not anticipate being asked to disclose any information about you under this law, you should know about the law and what it would require or allow us to do:

6.a) technically, we are allowed to disclose information – without your permission – to your physician or any other health care provider who works with you if we feel this is in your best interest;

6.b) technically, we are allowed to disclose information – without your permission – to immediate family members or to an individual known to have a close personal relationship with you if this is done according to the rules of good professional practice, and justified by the need to provide you with appropriate health care;

6.c) we are allowed to disclose some information – without your permission – if we are involved in a research project that has been approved by a human subjects review panel;

6.d) we are allowed to disclose certain information – without your permission – if we are subject to a financial audit;

6.e) we are allowed to disclose information about you – without your permission – to an official of a penal institution if you are imprisoned;

6.f) we are allowed to disclose information – without your permission – to federal, state, or local law enforcement authorities to the extent which the health care law requires it; and,

6.g) we can disclose certain portions of your records to appropriate authorities engaged in collecting data for legal, administrative, financial, billing, or actuarial services provided to this office.

Normally, even when the law says we do not need your permission, we will ask you for it anyway.

In the treatment of teenagers, there is a delicate “confidentiality balance” that cannot be fully resolved. On the one hand, establishing a trusting relationship with a teenager can be a very delicate and difficult task, and if the teen feels that his/her confidences will be betrayed, s/he is unlikely to confide in the first place. On the other hand, teenagers can do a remarkable job of pointing themselves in frightening directions in life, and parents might rightfully feel betrayed to suddenly learn that their teen’s psychotherapist knew of their impending dysfunction, and never said a word.

Confidentiality for those under age 18:

Teens in therapy and their parents need to decide “which way to go” with this issue. As a parent, do you want to grant confidentiality and risk being shocked at what the teen does, or ask for regularly scheduled feedback and risk that, in the process, the teenager does not reveal relevant or significant information?

If you are under 18 years of age, please be aware that the law may provide you with the right to confidentiality, but it also makes you financially responsible for your treatment. Parents are only responsible for payment for services if they agree to be responsible.

No matter what agreement is reached between a teenager, the parents, and Dr. Daley, if Dr. Daley thinks that the teenager is at immediate risk of suicide or homicide, he/we will notify the parents (and police) of this concern.

Policies on the Misuse of Your Private Records

If you request your records, and Dr. Daley learns of your intention to use the information therein inappropriately, he will make every effort to insure that you fail in the effort. For example, if you only came to therapy to try to prove that your ex-spouse is a poor parent to your children, Dr. Daley will make note of that fact in the information he releases.

Testifying in Court

If Dr. Daley is compelled by a court of law to testify, you will be required to pay his fee – in advance – for travel to and from, attendance at, and preparation for any legal proceeding even if his testimony harms your case, and even if he is never actually “called” to testify.

Your best “stance” in therapy is to use Dr. Daley as your therapist – and only your therapist (unless you are only here for a psychological evaluation) – and leave everything else out of the process. The process is meant to be private, confidential, softly inviting of insight, not part of some legal action.

Policies on Psychological Evaluations

If you have consulted us in order to obtain a psychological evaluation – or been referred ONLY for a psychological evaluation – and you are not seeking further services, we will continue to make every effort to maintain an open and clearly-communicating relationship with you. However, this process can be complicated by circumstances surrounding your referral. For example, if you have been forced to seek an evaluation by a court of law, or if you are embroiled in some type of legal battle, you may not feel like you want to be completely open with Dr. Daley. You may be angry about having to submit to a psychological evaluation. These issues should be discussed with Dr. Daley.

If someone else is paying for the evaluation, then that other person/entity, that “third party” (third to you and Dr. Daley) becomes the “client” of this office. That is, the person/agency paying for services “owns” the rights to decide what to do with the “product” of the assessment, the written report.

If you have been forced by a court of law to undergo an evaluation, you have the right to question us in detail about the evaluation procedure, as well as the right to refuse to participate in the evaluation. If you choose to participate, though, the confidentiality of the evaluation will extend (within the limits outlined in this document and the law) to everyone except the court or third party that ordered (and paid for) your evaluation. That is, the final report will be released to the person or agency or entity that asked for and paid for the report, regardless of whether or not you want the report released to them.

Three factors often surface when an agency pays your fee. First, many examinees are confused by the referral, and request an evaluation “because they told me I should come here.” Please recognize that psychological evaluations can have major impacts on your life and your benefits with these agencies, and you should be fully informed as to the nature of – and reason for – the evaluation. Secondly, when an agency is paying the fee for your evaluation, that agency earns the right to receive the written report of your evaluation, even if you are displeased with some or all of the report. If an agency (e.g., Division of Vocational Rehabilitation, Labor and Industries, Division of Disability Determination Services, Division of Child and Family Services [or other agencies]) is paying for your evaluation, you may refuse to begin the evaluation, but you cannot retrospectively revoke your permission to disclose confidential information to the referring agency unless you pay all of the fees involved.

If you desire feedback about your evaluation, you may schedule an additional session to review the evaluation (the referring agency may or may not pay your fee for this “extra” session, and payment must be arranged in advance). Written reports will not be released until the fee for the evaluation has either been paid or guaranteed. Written reports will not be released to legal representatives or courts until Dr. Daley has gone over the final report with you so that you understand the exact nature of what is being disclosed. If you have any questions, please ask.