Common Contracts

1 similar Psychotherapy Agreement contracts

Agreement to Receive Psychotherapy at Deeper Clarity Counseling Via Telehealth (online video)
Psychotherapy Agreement • May 28th, 2021

Due to concerns regarding the Covid-19 (Coronavirus) pandemic, I, the undersigned, agree on this date to receive psychotherapy treatment with Lynn Flewelling, Deeper Clarity Counseling, via the Theranest Telehealth platform in my Client Portal account. I understand that I will receive the same level of care, and that this is for both my and Lynn’s safety. The video service is available on computer, phone, and tablet. It is your right to refuse, and to receive your usual face to face therapy instead. The Theranest portal is HIPPA compliant, meaning that your personal information, including credit card info, is secure.

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