Adult Consent Form

1) Consent for Treatment, 2) Confidentiality & Limits, 3) Telehealth Services, 4) Fees, Payment, and Insurance 5) Scheduling & Communication, 6)Use of Artificial Intelligence (AI) in Clinical Practice 7) Acknowledgment & Consent

Never worry alone, every step forward is a step toward healing. The pathway to growth starts with a single conversation.

Thank you for your time and support, I truly appreciate it!

keep yourself safe: Call 911 or go to your nearest emergency room. 988 Suicide & Crisis Lifeline: Call or text 988 for free, confidential support 24/7.
Crisis Text Line: Text HOME to 741741 to connect with a trained counselor. Veterans Crisis Line: Call 988, then press 1. These resources are available anytime, even outside of scheduled sessions.

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Never worry alone, every step forward is a step toward healing. The pathway to growth starts with a single conversation.

Thank you for your time and support, I truly appreciate it!

keep yourself safe: Call 911 or go to your nearest emergency room. 988 Suicide & Crisis Lifeline: Call or text 988 for free, confidential support 24/7.
Crisis Text Line: Text HOME to 741741 to connect with a trained counselor. Veterans Crisis Line: Call 988, then press 1. These resources are available anytime, even outside of scheduled sessions.

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