CDPCC conducts psychotherapy via telephone and video.  If you have any questions, please let your therapist know or call our office at 630-752-9750.

 

Prior to starting video-conferencing services, we discussed and agreed to the following:

• There are potential benefits and risks of video-conferencing (e.g. limits to patient confidentiality) that differ from in-person sessions.

• Confidentiality still applies for tele-therapy services, and nobody will record the session without the permission from the others person(s).

• End-to-end encryption is standard for phone and video chat services, saving only the metadata (who called and how long the call lasted). However, no method of communication is completely confidential. You will need to assume responsibility for maintaining confidentiality on your end of the session. By signing this informed consent, you accept responsibility to secure any phone or computer you may use for our session.

• We agree to use telephone service or a video-conferencing platform selected for our virtual sessions, and your counselor will explain how to use it.

• You need to use a webcam or a smartphone during the session.

• It is important to be in a quiet, private space that is free of distractions (including cell phone or other devices) during the session.

• It is important to use a secure internet connection rather than public/free Wi-Fi.

• It is important to be on time. If you need to cancel or change your tele-appointment, you must notify the psychologist in advance by phone.

• We need a back-up plan (e.g., phone number where you can be reached) to restart the session or to reschedule it, in the event of technical problems.

• We need a safety plan that includes at least one emergency contact and the closest ER to your location, in the event of a crisis situation.

• If you are not an adult, we need the permission of your parent or legal guardian (and their contact information) for you to participate in telepsychology sessions.

• You should confirm with your insurance company that the video sessions will be reimbursed; if they are not reimbursed, you are responsible for full payment.

• As your counselor, I may determine that due to certain circumstances, tele-therapy is no longer appropriate and that we should resume our sessions in-person.

• We do not practice therapy via email or text messages.

I understand the above information and I consent to using phone or video chat for psychotherapy. I understand that I can withdraw my consent to phone or video chat sessions at any time.