Alicia Beltran, M.S., L.C.P.C.Teletherapy Consent Agreement • April 5th, 2023
After intake and the establishment of a therapeutic relationship, it may be possible for treatment delivery to occur via interactive video-conferencing (i.e. virtual “face to face” sessions) in lieu of, or in addition to, “in-person” sessions. Video conferencing (VC) is a real time interactive audio and visual technology that enables me to provide mental health services remotely. The VC system I use (https://vsee.com) meets HIPAA standards or encryption and privacy protection but cannot guarantee privacy. You will not have to purchase a plan or provide your name when you “join” an online meeting. Treatment delivery via VC may be a preferred method due to convenience, distance, or other circumstances. Although VC may be used when the clinician and client are in different locations, licensure regulations only allow a session to be conducted in the state which the clinician is licensed. An occasional exception can be made if temporary permission is available from another state.
Teletherapy Consent AgreementTeletherapy Consent Agreement • September 25th, 2021
Video Conferencing is an option for conducting remote sessions over the internet where you will be able to speak to and see your Psychologist, Allyson M. Carlson on a screen. You and Dr.
TELETHERAPYTeletherapy Consent Agreement • March 19th, 2020
This form is in addition to the regular “Informed Consent for Treatment” form, and is meant to inform you about what you can expect regarding your participation in teletherapy counseling. You must sign both in order to participate in teletherapy sessions.
