I understand that I have the right to withdraw consent at any time without affecting my rights to future care, services, or program benefits to which I would otherwise be entitled. 

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I understand that there are risks, benefits, and consequences associated with Telehealth, including but not limited to, disruption of transmission by technology failures, interruption and/or breaches of confidentiality by unauthorized persons, and/or limited ability to respond to emergencies.  

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I understand that there will be no recording of any of the online sessions by either party. All information disclosed within sessions and written records pertaining to those sessions are confidential and may not be disclosed to anyone without written authorization, except where the disclosure is permitted and/or required by law.  

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I understand that the privacy laws that protect the confidentiality of my protected health information (PHI) also apply to Telehealth services unless an exception to confidentiality applies ( i.e. mandatory reporting of child, elder, or vulnerable adult abuse; danger to self or others; I raise mental/emotional health as an issue in a legal proceeding). 

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I understand that if I am having suicidal or homicidal thoughts, actively experiencing psychotic symptoms, or experiencing a mental health crisis that cannot be resolved remotely, it may be determined that Telehealth services are not appropriate and a higher level of care is required.  

I understand that my therapist may need to contact my emergency contact and/or appropriate authorities in case of an emergency. ​

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I understand that during a Telehealth session, we could encounter technical difficulties resulting in service interruptions. If this occurs, end and restart the session. If we are unable to reconnect within ten minutes, please call me at 316-759-9136 to discuss since we may have to re-schedule.