Confidentiality Exceptions Statement Sample 

Confidentiality Exceptions Statement

(example)

Yes, I understand it is my responsibility to keep all information shared in the small group confidential and to demonstrate respect for the other group members at all times. In the online setting, this also means 1) do not participate in the group in a public space or where others can see or hear the group activity; 2) do not share the group video conferencing login information with others. 3) Photos, screengrabs or recordings of the group sessions are prohibited. The only exceptions to this confidentiality rule are Mandated Reporting (examples include child/elder/vulnerable adult abuse) and/or any Duty to Warn (expressions of active intent to harm oneself or others) notifications