The below information will also be provided via an informed consent form upon intake or returning to in-person therapy.

 

Decision to Meet Face-to-Face

If there is a resurgence of the pandemic or if other health concerns arise, I may require that we meet via telehealth. If you have concerns about meeting through telehealth, we will talk about it first and try to address any issues. If I believe it is necessary, I may determine that we return to telehealth for everyone’s well-being.

 

If you decide at any time that you would feel safer staying with, or returning to, telehealth services, I will respect that decision, as long as it is feasible and clinically appropriate. Reimbursement for telehealth services, however, is also determined by the insurance companies and applicable law, so that is an issue we may also need to discuss.

 

Risks of Opting for In-Person Services

You understand that by coming to the office, you are assuming the risk of exposure to the coronavirus (or other public health risk). This risk may increase if you travel by public transportation, cab, or ridesharing service.

 

Your Responsibility to Minimize Your Exposure

To obtain services in person, you agree to take certain precautions, which will help keep everyone (you, me, our families, other patients, other office personnel) safer from exposure and sickness. Please only keep your in-person appointment if you are symptom free. If a resident of your home tests positive for the infection, please immediately let me know and we will then resume treatment via telehealth.

 

My Commitment to Minimize Exposure

During the sessions, the therapist will be wearing a mask and would appreciate you doing so as well. Physical distance, by spacing seats more than 6 feet apart, will also be used for minimizing  exposure. Hand sanitizer is available in the therapy room and at the reception counter. Lysol wipes and fabric sprays are used on commonly touched areas (door handles, couches, chairs, etc.) between clients. Tissues and trash bins are easily accessed. Trash is disposed of on a frequent basis. 

 

If You or I Are Sick

If you or your child show up for an appointment and I believe that you or your child have a fever or other symptoms, or believe you have been exposed, I will have to require you to leave the office immediately. We can follow up with services by telehealth as appropriate.

 

If I test positive for the coronavirus, I will notify you so that you can take appropriate precautions.

 

Your Confidentiality in the Case of Infection

If you have tested positive for the coronavirus, I may be required to notify local health authorities that you have been in the office. If I have to report this, I will only provide the minimum information necessary for their data collection and will not go into any details about the reason(s) for our visits.