Decision to Meet In Person
I consent to meeting in person with my therapist Anne G. Walker LCSW. If there is a resurgence of the pandemic or if other concerns arise my therapist may require that we meet via telemental health. Should I be unable to participate in telemental health I will notify my therapist of barriers and we will create a plan for care.
I may voluntarily request telemental health services at any time. My therapist will advise on clinical appropriateness related to my care. Additionally I am aware there may be reimbursement limitations as determined by my health insurance carrier.
Risks of Opting for In-Person Services
I understand that by presenting to my therapist's office I am assuming the risk of exposure to the coronavirus or any other public health risk.
My Responsibilty to Minimize Exposure
To obtain services in person, I agree to taking certain precautions which helps reduce risk to myself, my therapist, related office staff, and other clients receiving care. Should I be unable to adhere to these standards I agree to notify my therapist and discuss care plans which may include virtual sessions.