I agree and authorize The Behavior Guru LLC to assess/supervise/treat me/my child remotely (via email, text, phone, and video).
I understand that a consultation does not guarantee treatment. The Behavior Guru LLC strives to provide the best Applied Behavior Analysis therapy. Research has shown that therapeutic relationships between therapist and patient are critical in achieving the best results.Therefore, The Behavior Guru LLC takes client therapist relationships seriously. If we are not a good match, we will provide a referral for another great BCBA.
I understand that all procedures will be discussed with me prior to implementation.
I understand that remote therapy may require me to make changes/do things differently in my home/parenting as they are clinically recommended.
I also understand that in order for me/my child’s therapy to besuccessful I needto be an active participant in therapy. If I fail to do so, The Behavior Guru LLC has the right to terminateservices at any time.
I understand that I have the right to ask questions at any time.
I understand that all me/my child’s records will be kept confidential(see HIPAA Privacy Practices for moreinformation) in a locked storage file and/or a secure online file only accessible to my therapist andme.
I understand that I have the right to ask for records at any time overthe course of therapy. I understand that I must supply a written request for thisto be fulfilled (email suffices).
I agree to pay and understand that services are billed on an hourly basis. At the time of booking an appointment, I will be required to pay for the service. Should the service be canceled, I will be refunded the money entirely (outside of the 24 hour cancellation policy).
I understand that there is a 24 hour policy for late cancellations. If I do not notify the Behavior Guru LLC 24 hours before my session I will be charged the entire session's fee.