Common Contracts

1 similar Consent and Disclosure Agreement contracts

Tele-mental Health Informed Consent and Disclosure Agreement
Consent and Disclosure Agreement • August 15th, 2016

Secure and private communication, as well as one’s confidentiality, cannot be guaranteed when utilizing cell phones, smart phones or regular email systems. It is the client’s right to determine whether communication using non-secure technologies may be permitted and under what circumstances. Use of any non-secure technology to contact Jennifer Tardelli, LPC in this consent form shall be considered an implied consent to return messages to the client via the same non-secure technology, pending further clarification for the client.

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