My name typed below indicates that (1) my therapist and I may occasionally communicate by e-mail or text and (2) I understand that the confidentiality of e-mail or text transmissions cannot be totally protected. Information may be sent to me at the e-mail address listed above or by text on the cell phone number I have listed. You may revoke this authorization at any time in writing. By typing my name below, I am signing this form electronically. I agree that typing my name is the legal equivalent of my manual signature on this form.