<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.58.03.08" title_num="10" subtitle_num="58" chapter_num="03" heading="Records, Confidentiality, and Informed Consent.">
  <paragraph num="A.">
    <text>A counselor shall:</text>
    <paragraph num="(1)">
      <text>Maintain the privacy and confidentiality of a client and a client's records;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Release mental health records or information about a client only with a client's consent, or as permitted by Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Release alcohol and substance abuse records or information about a client only with a client's consent, or as permitted by State and federal law;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Dispose of records in accordance with Health-General Article, Title 4, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provide sufficient information to a client to allow a client to make an informed decision regarding treatment, including the following:</text>
      <paragraph num="(a)">
        <text>The purpose and nature of an evaluation or treatment process;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Additional options to the proposed treatment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Potential reactions to the proposed treatment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The estimated cost of treatment;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The right of a client to withdraw from treatment at any time, including the possible risks that may be associated with withdrawal; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The right of a client to decline treatment, if part or all of the treatment is to be recorded for research or review by another person;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Obtain full informed consent of a client participating in a human research program; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Protect a client's autonomy and dignity to decide whether to participate in a human research program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A counselor may not imply that a penalty may result if a client refuses to participate in a human research program.</text>
  </paragraph>
</regulation>