The man told me I'd need to disclose the home address of the person, when I'd be there, and what kind of service I'd be providing. I told him I couldn't do this, as it violates this person's confidentiality. I said I was willing to provide the street name along with my professional license number and vehicle information, which I thought should be sufficient to ensure that I'm not abusing the parking permit. He was incredibly rude, cutting me off repeatedly and telling me that "lady, no one has ever had a problem with giving me that information in 15 years" and telling me "you think you're the only one in Somerville who sees people at their homes? There's people from all sorts of VNAs seeing people, and none of them have a problem filling out a form," and, "I can't give you a carte blanche to just do whatever you want all over the city." Wow. Because that's clearly what I really was asking for, not just a parking permit to park on one street for an hour a week, for which I was willing to give pretty much any of my own personal information and was willing to pay the ridiculous $25 fee.
I've spoken to someone at the American Music Therapy Association national office, who agrees that the request is inappropriate and says this should be obvious from the text of HIPAA, the code of ethics, and the standards of practice. This person also emphasized that I would need a release to provide the name of the person's street, since that's also personally identifying information. (I tried calling the Massachusetts Division of Professional Licensure as well, but it went to a voicemail box that was full, as is often the case there.) It seems obvious enough to me as well that they should issue the parking permit based on my vehicle registration and/or professional license, so that if I do abuse the parking privileges, it comes back entirely to me and doesn't involve my completely innocent clients in any way. Of course all of this is obvious, but how do I convey this to the ridiculous Somerville parking guy so I can get a parking permit?
I should mention that this individual is very adamant about not releasing any personal information to anyone, which is fully within this person's rights. When the parking signs went up, I suggested that this person might want to get a visitor parking placard in case anyone wanted to come visit, not specifically me, and offered to do this with this person, but this person was not willing to share any bills or anything with the Traffic and Parking people, and is generally very suspicious of government-type people. I didn't press the issue at all, because it would be unethical for me to put the client in a position of going outside a personal comfort zone in order to effectively provide a favor for me. This person should not be required to divulge personal information to the City of Somerville in order to continue receiving healthcare. Nor should this person be put in a position of potentially being contacted by the City of Somerville should I decide to abuse my parking permit, or even if there's a question about it. I'm ethically required to provide healthcare unconditionally, and I can't tell my client that I can only continue providing services if my client signs a release allowing me to tell the City of Somerville that this person is receiving mental health services.