Authorization for Teletherapy
I, , hereby consent to engage in teletherapy with Jordana Wolfson, LMSW. I understand that “teletherapy” includes consultation, treatment, transfer of medical data, emails, telephone conversations and education using interactive audio, video, or data communications. I understand that teletherapy/coaching also involves the communication of my medical/mental information, both orally and visually.
As with all services provided through Co-Parenting Solutions, LLC and consented to previously by you in a written contract, there shall be no audio and/or video- recordings of sessions.
I understand that I have the following rights with respect to teletherapy:
I have read, understand and agree to the information provided above.
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Document Name: Authorization for Teletherapy
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