<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.65.03.06" title_num="10" subtitle_num="65" chapter_num="03" heading="Records, Confidentiality, and Informed Consent.">
  <text>A licensee or registrant shall:</text>
  <paragraph num="A.">
    <text>Respect and maintain the privacy and confidentiality of the client;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Disclose the client's record or information about the client only with the client's consent or as required by law;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Adequately safeguard confidential client information, including storage and disposal of records;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Provide sufficient information to a client to allow the client to make an informed decision regarding treatment, including:</text>
    <paragraph num="(1)">
      <text>The purpose or nature of an evaluation or treatment regimen;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Alternatives to treatment;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Side effects and benefits of a proposed treatment regimen and the alternatives to that treatment;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The estimated cost of treatment and alternatives to treatment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The right of the client to withdraw from treatment at any time, including the risks associated with withdrawing from treatment; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The client's right to decline to participate in treatment if an aspect of the treatment will be recorded, documented, photographed, observed, or otherwise used in an educational program;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Obtain the full informed consent of a client participating in a human research program, without a direct or implied penalty for the client's refusal to participate in the program, and with due regard for the client's autonomy and dignity;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Comply with applicable federal and State laws for human research programs; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Comply with applicable provisions of Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>