I authorize messages to be left at the following phone numbers:
I authorize all email communication including attached documents to this email address:
I authorize Kara Bates to provide telehealth sessions to me via telephone and/or video conferencing.
I would like to receive reminder notifications for my appointments via:
(This is a courtesy. You are still responsible for the above cancellation policy should reminders not go out.)
I understand that the above methods of communication may not be HIPPA compliant.