If you elect to communicate with me by e-mail or text messaging at some point in our work together, please be aware that e-mail and texting is not completely confidential. There are risks associated with e-mailand text messaging as outlined below:

• All e-mails and text messages are retained in the logs of the e-mail/phone/internet service provider.
• Although under normal circumstances no one looks at these logs, they are, in theory, available to be read by thesystem administrator(s) of the service providers.
• Copies of e-mails and texts may exist even after the sender and/or the recipient has deleted his or her copy.
• E-mail and text senders can easily misaddress an e-mail or text and send the information to an undesired recipient.
• E-mails and texts can be intercepted, altered, forwarded or used without authorization or detection.

Conditions for the use of email and texts:

• As your therapist, I cannot guarantee but will use reasonable means to maintain the security and confidentiality of e-mail and text information sent and received, including a passcode lock on my phone.
• E-mail and texting is not appropriate for urgent or emergency situations. I cannot guarantee that any particular e-mail and/or text will be read and responded to within any particular period of time.
• E-mail and texts should be concise. Unless we have agreed to a specific exception, sensitive or complex situations should be discussed in a phone call or during a scheduled appointment, not on e-mail or text.If texts or e-mails contain information relevant to your treatment, they may be retained in your medical record, or a summary of the content may be included in a clinical note in your record.
• If you choose to use e-mail or text messaging, you agree that I may reply to your email and text messages, and that I may include any information that I deem appropriate, including information that would otherwise be considered confidential.
• You agree that if you do not receive a timely response from an e-mail or text message to me, that you will follow up with a phone call to me.
• If you choose to use e-mail or text messaging, you agree not to hold me liable for improper disclosure of confidential information that is caused by you or any third party

By signing below, you agree that you have read and understand the risks associated with communication via e-mail and text messaging, and that you consent to the conditions outlined above

If client is a minor or a has a guardian