Jacey J. Yunker, LCSW, EMDR-C, CCTP-II, CIMHP, CAGCS Pronouns: She/Her Phone: 720-202-8311
New Client Forms
New Client Forms
Therapy is a private matter. I work hard to maintain client confidentiality, as this is an integral part of the therapeutic relationship. Having to disclose Medical Records is a rare occurrence.
Limits of Confidentiality: Mental Health Therapists are legally obligated to break confidentiality under certain circumstances, and I would attempt to discuss this with you prior to taking action.
Limits of Confidentiality: Mental Health Therapists are legally obligated to break confidentiality under certain circumstances, and I would attempt to discuss this with you prior to taking action.
- If you (or your child) are at risk of causing serious harm to yourself or are an imminent threat to a person or the public
- In cases of known or suspected abuse, neglect, or exploitation of a minor, elder, or disabled adult
- Some situations where I also may be required to disclose information without your consent or authorization: certain law enforcement and legal proceedings; the need to defend myself if a client files a complaint or lawsuit; a worker's compensation claim filed by a client receiving related treatment; national security concerns; reports to military commanders; government safety and healthcare investigations; and legal notification for disease prevention and control.
Click below to read the Health Insurance Portability and Accountability Act (HIPAA) and Your Rights form. All other forms are shared through a secured, HIPAA-compliant, telehealth platform after receiving your permission to email that link to you. Please also refer to the No Surprises Act.
| hipaa-and-your-rights.pdf |
If this is an emergency:
Dial 911, or have a neighbor, friend, or family member take you to the nearest hospital emergency room of your choice.
Take your child or teen to the nearest hospital emergency room of your choice.
Call the Suicide and Crisis Lifeline at 988.
Call National Suicide Prevention Lifeline: (800) 273-TALK (8255)
Call National Domestic Violence Hotline: (800) 799-SAFE (7233)