The Code of Ethics of the American Psychiatric Association ensures the confidentiality of our work together.  In general, nothing that we talk about will be revealed to anyone else without your specific permission, except that Maryland law requires us to reveal information if we believe that such information may result in physical harm or death of any individual. If you send a claim to an insurance company based on our work together, that insurance company may require us to release information to them before they pay you. You don’t have to agree to the release of that information, but if you don’t agree they may not pay your claim. These records may be sent by mail or they may sometimes be sent by FAX.  If the information must be faxed to your company, the office will make every effort to ensure that the information remains confidential, but obviously can’t be held responsible for delivery errors on the other end.  If you have any questions or concerns about this, please ask us.