Confidentiality Agreement
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Confidentiality Guidelines
Your confidentiality as a student is important to me. In our school counseling office, what is said here, stays here, with the following exceptions, as required by law and/or ethical standards:
1. Someone is hurting you
2. You want to hurt someone
3. You want to hurt yourself
4. You give permission to share with another trusted adult
By entering my name below, I acknowledge that my school counselor has discussed confidentiality and that I understand what that means.
Your name (First Last ex. Rachel Mogy) *
What grade are you in? *
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