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 services to me via telephone or video conferencing. I authorize video sessions to be done via Doxy.me, Zoom, or:
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 other than Doxy.me and Zoom, the above methods of communication are not HIPPA compliant.