4. Consent for Audio and Telehealth Sessions
An audio session is used to describe a mental health session conducted via telephone or over the Internet. State law requires that I have your permission to engage in this service with you. If you desire the option of telehealth services, please maintain a quiet and confidential environment without distractions during our sessions so we can make the most of our time together and be sure that our conversation cannot be easily heard by others to protect your confidentiality.
Your signature below indicates you give your permission to engage in Audio Sessions with me and that you give permission to bill your insurance company for audio sessions. If you have questions as to whether your insurance policy covers
audio session, please contact your insurance company to verify your benefits prior to your appointment.