In our practice, we engage in providing therapy services through telemedicine technologies which include, without limitation, the practice of health care delivery, diagnosis, consultation, treatment, transfer of medical data, and education using interactive audio, video, data and other electronic communications, including email, texting, and apps, between the therapist and the client who are not in the same physical location. During telemedicine therapy details of your medical history and personal information may be discussed with you. It is your responsibility to maintain privacy on your end of any communications, and to take the necessary precautions to ensure that all communications are directed only to your therapist or to our office.
Telemedicine may also involve the communication of your medical/mental health information, both orally and visually, to health care practitioners located in and/or outside Washington. The laws that protect the confidentiality of your medical information also apply to telemedicine, subject to mandatory and permissive exceptions to confidentiality, including without limitation, reporting child, elder, and dependent adult abuse, expressed threats of violence toward an ascertainable victim, and where your mental or emotional state are subject to a legal proceeding.
There are risks and consequences from telemedicine, including, without limitation, the possibility, despite reasonable efforts on our part, that the transmission of our services and/or your medical information could be disrupted, distorted by technical failures, or be interrupted or intercepted by unauthorized persons, and/or the electronic storage of your medical information could be accessed by unauthorized persons. In addition, telemedicine-based services and care may not be as complete or efficient as face-to-face services.
We reserve the right to provide our services via telemedicine or to suggest that you may benefit from telemedicine. As with other forms of delivery, the results of providing services by telemedicine cannot be guaranteed or assured. If, during your treatment, your therapist believes you would be better served by another form of psychological services (e.g. face-to-face treatment), you agree to pursue such alternative treatment with us or with another mental health provider. Further, if you wish to have your therapy sessions in-person rather than by use of telemedicine, it is your responsibility to inform your therapist of this desire and to schedule an in-person appointment with our office. You acknowledge that an appointment may not be immediately available in our office at any given time.
You will need access to, and familiarity with, the appropriate technology in order to participate in telemedicine. By signing this Informed Consent, you agree to the use of telemedicine in our treatment. Further, you may withhold or withdraw this consent at any time without affecting your right to future treatment.
You have the right to decline telemedicine therapy at any time without jeopardizing access to future care or services.