Consent to Therapy/Coaching/Telemental Health
I understand that I have the following rights with respect to In-person counseling, Coaching, and Telemental health:
1. I have the right to withhold or withdraw consent at any time without affecting my right to future care or treatment nor risking the loss or withdrawal of any program benefits to which I would otherwise be entitled.
2. The laws that protect the confidentiality of my medical information also apply to telemental health and in-person counseling; FLY Counseling has also extended this confidentiality to Coaching clients as well. As such, I understand that the information disclosed by me during the course of my therapy is generally confidential. However, there are both mandatory and permissive exceptions to confidentiality, including, but not limited to reporting child, elder, and dependent adult abuse; expressed threats of violence towards an ascertainable victim; and where I make my mental or emotional state an issue in a legal proceeding.
3. Cancellations and 'No call, no show' FEES:
If you need to reschedule your booked session, you have up until 24 hours before the date of your scheduled session.
PLEASE NOTE: In the event of a 'no call, no show' on the date of your scheduled session, you will be assess 50% of your full session rate.