Your counsellor will review confidentiality with you during your first appointment.

Privacy Statement

Personal information provided on this form will not be disclosed to any person outside of Accessibility, Counselling & Student Development (ACSD) without your written consent. The information that you provide on this form or to staff at ACSD is confidential with the following exceptions:

  1. We are required by law to report to the appropriate authorities any suspicions that a child (i.e. someone who is PRESENTLY under age 16) has been or is being abused.
  2. If you are in serious and imminent danger of hurting yourself or another person, we may need to reveal to an appropriate third party enough information to protect you and others.
  3. One of our goals is to foster a safe campus for you and for others. By seeking services at ACSD, you are consenting to an evaluation of the risk that you present to the physical health and safety of others. Accordingly, any student whose words, actions, or mental health issues present a potential risk of physical harm to others shall be responded to vigorously. This response may include (but not limited to) consultation with other professionals, university personnel or police who may have information relevant to a risk assessment. You may be referred to a specialist for further risk assessment evaluation; refusal to accept such a referral will be communicated to relevant university personnel.
  4. If you are involved in a legal proceeding, the court may subpoena our records.

Different areas of the service will have other exceptions to confidentiality. These exceptions will be fully outlined to you by your counsellor where relevant.

The College of Psychologists requires that we keep a record containing your name, complete address, date of birth, and emergency contact. This information will be kept in our files and database for a minimum of 15 years.

Information about your faculty, year of study, your citizenship, your area of concern and any referral source will also be kept in your file. This data will also be used as part of an aggregate database in order to provide information about the student population served by ACSD. There will be no identifying information in the aggregate reports that are generated.

If you have any questions about the use of the information on this form, please speak with your counsellor or with the Manager of Student Wellness.