Teletherapy Services Agreement Sample Contracts

Teletherapy Services Agreement & Informed Consent
Teletherapy Services Agreement • January 19th, 2023

This Teletherapy Services Agreement is being provided in addition to the Blooming Leaf Counseling, PLLC Professional Disclosure Statement.

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TELETHERAPY SERVICES AGREEMENT & INFORMED CONSENT
Teletherapy Services Agreement • October 7th, 2022

TeleTherapy services are a form of psychological therapy service which is provided via secure internet technology. Specifically, TeleTherapy involves a therapist and a client interfacing via their computers over the internet at a prearranged time. It has the same purpose or intention as face-to-face psychotherapy treatment sessions, though it is not a universal substitute for this type of service. The TeleTherapy services provided by Integrated Wellness and Strategies, LLC occurs in the state of Colorado (USA) and are thus governed by the laws of this state.

TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • September 28th, 2020

At Traverse we prioritize the relationship and meeting with clients face-to-face, however, we recognize that there are occasional circumstances that warrant a telehealth session, such as illness, childcare issues, inclement weather, etc.

TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • August 9th, 2020

while most insurance companies cover teletherapy services, it is your responsibility to confirm this information prior to meeting. These sessions may be reimbursable through your healthcare spending (HSA) account. It is recommended that you contact your insurance company prior to starting to verify that they cover teletherapy services. Private pay can also be arranged.

Teletherapy Agreement
Teletherapy Services Agreement • March 30th, 2020
Margaret Otto, LSCSW Teletherapy Services Agreement and Informed Consent
Teletherapy Services Agreement • March 24th, 2020
Shannon L. Johnson, LPC 2340 E. Trinity Mills #300 Carrollton, TX 75006 972-824-0803
Teletherapy Services Agreement • April 22nd, 2020

Teletherapy or Telehealth is the delivery of therapeutic services by which the therapist and client are not within the same physical location. This includes, but is not limited to, Web Cam sessions, Telephone conversations, video phone conversations, e-mails, text messages, or any communication involving the Internet as a medium. Unless we explicitly agree otherwise, our teletherapy exchange is confidential. Any personal information you choose to share with me will be held in the strictest confidence. Just as for face-to-face counseling, I will not release your information to anyone without your prior approval, or I am required to do so by law, as in the case of suspected abuse of children, the elderly, or people with disabilities.

TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • March 18th, 2012
TELETHERAPY SERVICES AGREEMENT & INFORMED CONSENT
Teletherapy Services Agreement • May 18th, 2020

TeleTherapy services are a form of psychological therapy service which is provided via secure internet technology. Specifically, TeleTherapy involves a therapist and a client interfacing via their computers over the internet at a prearranged time. It has the same purpose or intention as face-to-face psychotherapy treatment sessions, though it is not a universal substitute for this type of service. The TeleTherapy services provided by InSight Behavioral Wellness of Northern Michigan, LLC occurs in the state of Michigan (USA) and are thus governed by the laws of this state.

Teletherapy Services Agreement & Informed Consent
Teletherapy Services Agreement • September 18th, 2023

This Teletherapy Services Agreement is being provided in addition to the Blooming Leaf Counseling, PLLC Professional Disclosure Statement.

TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • October 22nd, 2018
TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • November 19th, 2015
INFORMATION, CONSENT AND AGREEMENT FOR TELE-THERAPY SERVICES
Teletherapy Services Agreement • August 6th, 2022
Agreement for Teletherapy Services
Teletherapy Services Agreement • August 31st, 2023

The Washington State (WA ST) Department of Health (DOH) and insurance companies require that I provide information about teletherapy as part of the overall agreement to participate in counseling. This document provides that information. As such, I need a signed copy for my records (be sure to initial the first page and sign the second page).

Management & Behavior Consultants, P.C.
Teletherapy Services Agreement • January 4th, 2021

TeleTherapy services are a form of psychological therapy service which is provided via secure internet technology. Specifically, TeleTherapy involves a therapist and a client interfacing via their computers over the internet at a prearranged time. It has the same purpose or intention as face-to-face psychotherapy treatment sessions, though it is not a universal substitute for this type of service. The TeleTherapy services provided by Management & Behavior Consultants, P.C. occurs in the state of Michigan (USA) and are thus governed by the laws of this state.

TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • March 16th, 2020

At Traverse we prioritize the relationship and meeting with clients face-to-face, however, we recognize that there are occasional circumstances that warrant a telehealth session, such as illness, childcare issues, inclement weather, etc.

TELETHERAPY SERVICES AGREEMENT & INFORMED CONSENT
Teletherapy Services Agreement • September 12th, 2017
INFORMATION, CONSENT AND AGREEMENT FOR TELE-THERAPY SERVICES‌
Teletherapy Services Agreement • May 28th, 2021
DEEP EDDY PSYCHOTHERAPY TELETHERAPY SERVICES AGREEMENT AND INFORMED CONSENT
Teletherapy Services Agreement • August 9th, 2020
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