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Disclosure of Private Mental Health Act

The Student Optional Disclosure of Private Mental Health Act, 110 ILCS 74/1 et seq. requires that institutions of higher learning provide all students the opportunity to authorize in writing the disclosure of certain private mental health information to a designated person.


What information will be disclosed?

Elgin Community College (ECC) may disclose a student’s mental health information if a physician, clinical psychologist, or qualified examiner who is employed by the college makes a determination that the student poses a clear danger to himself, herself, or others to protect the student or other person against a clear, imminent risk of serious physical or mental injury or disease or death being inflicted upon the person or by the student on him/herself, or another. The information by the qualified examiner will be disclosed to the designated person as soon as practical, but in no more than 24 hours after making the mental health determination.

Who is a qualified examiner?

A qualified examiner is defined by Section 1-122 of the Mental Health and Developmental Disabilities Code Act as a clinical social worker, a registered psychiatric nurse, a licensed clinical professional counselor, or a licensed marriage and family therapist.

Who can be identified as a designated person?

A parent, guardian, medical professional, or other person over the age of 18 designated by a student to receive disclosure of certain private mental health information.

How can I access and complete this form?

If you choose to complete this form be aware that all information stored confidentially and securely. Only the Wellness Professionals and the Dean of Student Services and Development will have access to this form.

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Wellness Services

Building B, Room B120

Monday through Thursday: 8 am to 7 pm
Friday: 8 am to 4 pm