OUR HEALTH PROVIDERS
Alisha (Lisha) Knicely, R.D.N., IFNcP
ETHICAL STANDARDS
As members in good standing with each of their respective colleges. Alisha Knicely abide by their codes of ethics and are accountable to each of their governing bodies for ethical and professional standards. You may ask to see these codes at any time. Should you feel that an ethical violation has occurred through which you have experienced some measure of harm, you have a right to register a complaint with the Ethics Committee of the University of Eastern Michigan, Dietetics Program and The Integrative and Functional Nutrition Academy (IFNA).
RECORDS
Member files contain any email correspondence we have exchanged during the program that is relevant to your treatment plan as well as your contact information. Your file also may contain any brief session notes from private sessions we have together, if applicable. This enables us to provide you with the best care possible. Files are kept securely in Google Drive folders that are password protected.
You are welcome to review your file at any time. No records will be shared with any other parties without your signed permission on a ‘Consent for Release & Exchange of Information form or verbal consent. It is your choice whether information is released and you are not required to sign any consent if you are not comfortable with it.
CONFIDENTIALITY
Everything that is said via email or in the context of the conversations between the service provider and client is kept confidential. There may be times consultations may be made with another therapist or health professional. This is similar to a physician getting a “second opinion” and can be very helpful in therapeutic treatment. If consultation does occur, identifying information such as your surname will not be disclosed.
There are a few exceptions to confidentiality which you should be aware of:
1. When the client gives written permission (a signed release form) to have information from the counseling sessions communicated to another person.
2. When the client is at risk to hurt themselves or others, as when there is danger of suicide or assault.
3. When there is reason to believe that a child has, is, or may be in danger of sexual or physical abuse or neglect.
This includes:
a. When domestic violence is reported and there is a child or children in the home
b. When a client discloses that he/she was abused in childhood and there is a possibility that the
abuser may be a danger to other children now. In these situations I am legally bound to report to Family & Children’s Services
4. When mandated by a court order.
At times it may be suggested that I make contact with other professionals or family members in order to obtain information that will be helpful in your treatment. A signed ‘Consent for Release & Exchange of Information’ form is required and you have the right to refuse your signature. Should information be requested by anyone outside of my office, you will be notified.
If it is not an emergency situation, then signed consent is required and the person/agency requesting the information will not receive it, or be informed you are attending sessions, until the proper signature is received from you. If it is an emergency situation you will be informed via telephone, email or in person, as soon as possible. An emergency situation would be an urgent police, medical or child protection situation. Should there be proceedings before the courts and your records are subpoenaed you will be notified as soon as possible.
YOUR RIGHTS
As a client you have the right:
1. To ask questions at any point in time regarding therapeutic or program procedures.
2. To terminate the program at any time. Please see our program refund and cancellation policy.
3. To be informed of any information, decisions and actions that will affect you.
4. To ask about alternative procedures available for meeting your goals.
5. To review all documentation in your client file.
INFORMED CONSENT
By clicking below, I agree that I have read and understand the above information, and agree to the terms of therapy stated above. My Service Provider(s) has adequately answered any questions I have at this point in time (via email).
I understand I have the right to stop following the program at any time. I understand that it is usually best for Service Providers and clients to make joint decisions about termination of treatment.
My signature indicates that I am giving my consent for Alisha Knicely to coach & support me in The Thyroid Recovery Program/Hashimoto's Thrive. I will make a copy of this for my records.