Company Name

Company Message

Confidentiality & Privacy Policy

The law protects the relationship between a client and a therapist. Information cannot be disclosed without written permission.

The exceptions to this rule include:

  • Suspected child or elder abuse, which I am required by law to report to the appropriate authorities.
  • If a client is threatening serious harm to another person, I must notify the police and inform the intended victim.
  • If a client intends to harm himself or herself, I will make every effort to obtain the client's cooperation in ensuring his or her safety. If the client does not cooperate, I will take further measures without his or her permission that are provided to me by law in order to ensure the client's safety.
  • There are other exceptions to confidentiality described in the privacy practices documents on the right hand side of this page.

Privacy and Policy Forms

PRIVACY PRACTICES (PDF — 147 KB)

NEW CLIENT FORM (PDF — 113 KB)

Kristin Koberstein, MA, LMFT

243 Center Street

Canandaigua NY 14424

585-397-5012