EAP STATEMENT OF UNDERSTANDING AND AGREEMENT ON CONFIDENTIALITY:
Information you provide to an Employee Assistance Program(EAP) Coordinator during a counseling session is confidential. EAP will not disclose the information without your written consent except as set forth below:
- EAP may disclose confidential information if it concerns abuse or neglect of a child, dependent adult, or disabled person.
- EAP may disclose confidential information if it concerns the infliction of bodily harm or the intent to inflict bodily harm on a person.
- EAP may disclose confidential information if EAP determines that disclosure is reasonably necessary to prevent a direct threat to the health or safety of yourself or others during the performance of your job.
- If your department has directed you to meet with EAP for any reason, including the department’s concern about your use of alcohol and drugs, and you have signed a written release EAP may disclose:
- Dates of contact with EAP;
- whether you have kept appointments;
- whether you are compliant with EAP recommendations and other treatment recommendations; and
- estimated time to complete the EAP treatment plan.
EAP will not disclose other confidential information unless it falls within exceptions 1 -4 above or you give your written permission to EAP to disclose it.
By accepting below I acknowledge that I have read and understand the above statement and that I agree to proceed pursuant to the terms set forth above.