Thanks for the responses so far you guys. I have to say I'm shocked and appalled by what some of your providers (and their staff) have done! Hugs for all of you.
I think in the case of what I saw I was especially concerned because it could have placed the client in danger. The receptionist told a self-identified "friend" of client X when her next appointment was, 1. illegally confirming that client X was in fact receiving therapy at that office and 2. letting this man know where to find client X when. When I told my pdoc she was at first concerned, but then brushed it off saying maybe the receptionist knew this man was in fact a friend. That's when I asked about the release--it doesn't matter if the man was in fact a friend, it's still a violation. I mean, what if it were a boyfriend who had become an (angry and violent) ex-boyfriend?
I wish I could be sure something like this won't happen again. It's not that I want the receptionist to be fired or disciplined or whatever; I just want to make sure the office staff is all on the same (right) page regarding privacy. I know I have no right to know about the internal practices of my pdoc's office, but do you think it would be okay to ask her next time if the situation was handled somehow?
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