This document contains important information about Grand Island Mental Health & Medical Clinic, LLC and our decision to resume in-person services at this time. Please read this carefully and let us know if you have any questions.
Decision to Resume In-Person Services
We have agreed to allow in-person sessions at this time. If there is a resurgence of the pandemic, or if other health concerns arise, we may require that we meet via telehealth. If you have concerns about meeting through telehealth, please let us know. If you decide at any time that you would feel safer staying with, or returning to, telehealth services, you are able to do that at any time.
Risks of Opting for In-Person Services
You understand that by coming to the office, you are assuming the risk of exposure to the coronavirus. This risk may increase if you travel by public transportation, cab, or ridesharing service.
Your Responsibility to Minimize Your Exposure
To obtain services in person, you agree to take certain precautions which will help keep everyone (you, all office staff, and all families) safer from exposure, sickness, and possible death. If you do not adhere to these safeguards, it may result in our starting/returning to a telehealth arrangement.
- If you have a fever (100◦ F or more), or if you have other symptoms of the coronavirus, you agree to cancel the appointment or proceed using telehealth.
- You will wait in your car or outside before our appointment time.
- You will wash your hands or use an alcohol-based hand sanitizer when you enter the building.
- You will adhere to the safe distancing precautions we have set up in the waiting room and testing/therapy room.
- You will keep a distance of 6 feet and there will be no physical contact (e.g. no shaking hands) with any staff.
- You will take steps between appointments to minimize your exposure to COVID.
- If you have been exposed to other people who are infected, you will immediately let us know.
- If a resident of your home tests positive for the infection, you will immediately let us know and we will then resume treatment via telehealth.
We may change the above precautions if additional local, state, or federal orders or guidelines are published. If that happens, we will inform you of any necessary changes.
Our Commitment to Minimize Exposure
Grand Island Mental Health & Medical Clinic, LLC staff has taken several steps to reduce the risk of spreading the coronavirus within the office. Please let us know if you have questions about these efforts.
If You or Our Staff Become Sick
You understand that we are committed to keeping us all and all of our families safe from the spread of this virus. If you show up for an appointment and our office staff believe that you have a fever or other symptoms, or believe you have been exposed, we will have to require you to leave the office immediately. We can follow up with services by telehealth as appropriate. If any of our office staff test positive for the coronavirus, we will notify you so that you can take appropriate precautions.
This agreement supplements the general informed consent that we agreed to at the start of our work together. Your signature on the next card shows that you agree to these terms and conditions.