Rodney E. Timbrook, Ph.D., HSPP 

Psychological Service Associates, Inc.

3421 E. State Blvd, Fort Wayne, Indiana

office telephone (260) 482-8427
office fax (260) 482-8429

Privacy and NonDiscrimination Policies, Confidentiality

I will treat what you tell me with great care. My professional ethics (that is, my profession's rules about moral matters) and the laws of this state prevent me from telling anyone outside Psychological Service Associates, Inc. what you tell me unless you give me written permission.

These rules and laws are the ways our society recognizes and supports the privacy of what we talk about—in other words, the "confidentiality" of therapy. But I cannot promise that everything you tell me will never be revealed to someone else.

There are some times when the law requires me to tell things to others. There are also some other limits on our confidentiality.  I want you to understand clearly what I can and cannot keep confidential. You need to know about these rules now, so that you don't tell me something as a "secret" that I cannot keep secret.

These are very important issues, so please read these pages carefully and keep this copy. We can discuss any questions you might have.

 1.  When you or other persons are in physical danger, the law requires me to tell others about it.

2. In general, if you become involved in a court case or proceeding, you can prevent me from testifying in court about what you have told me. This is called "privilege," and it is your choice to prevent me from testifying or to allow me to do so. However, there are some situations where a judge or court may require me to testify.

3. There are a few other things you must know about confidentiality and your treatment:

  •  I may sometimes consult (talk) with another professional, such as your family doctor about your treatment. This other person is also required by professional ethics to keep your information confidential.  I feel it is best practice to try to coordinate care between me, as your therapist, and your family physician.

  •  I am required to keep records of your treatment, such as the notes I take when we meet. You have a right to review these records with me. If something in the record might seriously upset you, I may leave it out, but I will fully explain my reasons to you.

4. Here is what you need to know about confidentiality in regard to insurance and money matters:

  •  If you use your health insurance to pay a part of my fees, insurance companies require some information about our therapy.

  • If your account with me is unpaid and we have not arranged a payment plan, I may use legal means to get paid. The only information I will give to the court, a collection agency, or a lawyer will be your name and address, the dates we met for professional services, and the amount due to me.

The laws and rules on confidentiality are complicated. Please bear in mind that I am not able to give you legal advice. If you have special or unusual concerns, and so need special advice, I strongly suggest that you talk to a lawyer to protect your interests legally.

5. Here is what you need to know about confidentiality in regard to contacting me via email, social media websites, or text messaging via cell phone or websites.

  • Please use email only for administrative purposes, such as canceling an appointment or asking me to reschedule an appointment. Since email is not secure, please do not email me any clinical information.

  • I do not "friend" or "connect" or "favorite" any current or past patients so that the privacy of my patients can be protected. Any requests to connect with me on such websites will be ignored.

  • Unless specfic arrangements are made with me, I will not respond to any text message or message sent via a website. These forms of communication are not secure and your privacy is not protected.

Nondiscrimination Policy

Dr. Timbrook complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Dr. Timbrook cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Dr. Timbrook erfüllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.

Dr. Timbrook respecte les lois fédérales en vigueur relatives aux droits civiques et ne pratique aucune discrimination basée sur la race, la couleur de peau, l'origine nationale, l'âge, le sexe ou un handicap.

Dr. Timbrook voldoet aan de geldende wettelijke bepalingen over burgerrechten en discrimineert niet op basis van ras, huidskleur, afkomst, leeftijd, handicap of geslacht.

Dr. Timbrook 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障 或性別而歧視任何人。

Dr. Timbrook postępuje zgodnie z obowiązującymi federalnymi prawami obywatelskimi i nie dopuszcza się dyskryminacji ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.

Dr. Timbrook pridržava se važećih saveznih zakona o građanskim pravima i ne pravi diskriminaciju po osnovu rase, boje kože, nacionalnog porijekla, godina starosti, invaliditeta ili pola.

Dr. Timbrook は適用される連邦公民権法を遵守し、人種、肌の色、出身国、 年齢、障害または性別に基づく差別をいたしません。

DR. Timbrook ua raws cov kev cailij choj yuam siv ntawm Tsom Fwv Nrub Nrab Teb Chaw hais txog pej xeem cov cai (Federal civil rights laws) thiab tsis ciav-cais leejtwg vim nws hom neeg, nqaij tawv, lub tebchaws tuaj, hnub nyoog, kev tsis taus, los yog poj niam txiv.

Dr. Timbrook မာွ ဗဟုိအစိုးရ ႏငွ့္ သက္ဆုိင္ေသာ အမ်ားျပည္သူ ရပငုိခ္ြင့္ ဥပေဒ ႏငွ့္ လက္ေတ႔ြ အက်ဳးံဝငသ္ည္ သာမက လူမ်ဳးိ၊ အသားေရာင၊္ ေမြးဖြားသညႏ့္ုငိင္၊ံ အသက၊္ မသနစ္ြမး္ျဖစမ္ႈ၊ သုိ႔မဟုတ္ လငိ္ ႏငွ့္ ပတ္သက္၍လည္း ခြ ျဲခားဆကဆ္မံႈ အလ်ငး္မရွိပါ။

Sumusunod ang Dr. Timbrook sa mga naaangkop na Pederal na batas sa karapatang sibil at
hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian

Dr. Timbrook è conforme a tutte le leggi federali vigenti in materia di diritti civili e non pone in essere discriminazioni sulla base di razza, colore, origine nazionale, età, disabilità o sesso.

Dr. Timbrook tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.

Dr. Timbrook ਲਾਗੂ ਸੰਘੀ ਨਾਗਿਰਕ ਹੱਕ� ਦੇ ਕਾਨੰ ੂਨ� ਦੀ ਪਾਲਣਾ ਕਰਦੀ ਹੈ ਅਤੇ ਨਸਲ, ਰੰਗ, ਰਾਸ਼ਟਰੀ ਮੂਲ, ਉਮਰ, ਅਸਮਰਥਤਾ, ਜ� ਿਲੰਗ 'ਤੇ ਅਧਾਰ 'ਤੇ ਿਵਤਕਰਾ ਨਹ� ਕਰਦੀ ਹੈ।

Dr. Timbrook ametimiza mahitaji ya sheria za serikali kuu na hana ubaguzi wa kikabila, rangi, asili, umri, ilemavu ama jinsia.