There are conditions under which confidentiality may be breached. ... wanting to harm yourself or someone else, the experimenter will... LIMITS OF CONFIDENTIALITY
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EXAMPLE OF WORDING FOR LIMITS OF CONFIDENTIALITY There are conditions under which confidentiality may be breached. If you indicate wanting to harm yourself or someone else, the experimenter will contact you and this informed consent may also be given to a member of the clinical faculty who may contact you. Because of this, we also require that you provide your name and phone number. Name: ____________________________________ Phone: _______________________
