Telehealth Disclosure:

Telehealth Services
I provide psychotherapy services via secure, HIPAA-compliant telehealth platforms for clients located anywhere in the state of California.

What is Telehealth?
Telehealth (or teletherapy) is the delivery of mental health services through electronic communication technologies, such as secure video conferencing. It allows you to access care from the comfort of your home or another private location.

Benefits of Telehealth:

• Increased access to therapy without the need to travel

• Flexible scheduling options

• Continuity of care when traveling or during illness

Potential Risks and Limitations:

• Technical problems (e.g., disconnections, poor image/sound quality)

• Limits to privacy and confidentiality if you're in a shared or public space

• In rare cases, telehealth may not be a good fit for certain clinical needs or emergencies

Client Responsibilities:

• You must reside in California at the time of each session

• It is your responsibility to ensure a private, secure space for sessions

• You agree not to record sessions without written consent

Confidentiality and Privacy:
All telehealth sessions are conducted using encrypted, HIPAA-compliant software to protect your privacy. Despite these protections, no electronic communication is 100% secure. Please avoid using public Wi-Fi or shared devices for therapy sessions.

Emergency Situations:
Telehealth is not appropriate for crisis situations. If you are experiencing a mental health emergency, please:

• Call 911

• Go to your nearest emergency room

• Or contact the Suicide & Crisis Lifeline at 988

Telehealth Consent:
All clients must complete a Telehealth Informed Consent form prior to beginning online therapy. This form includes detailed information about telehealth, your rights, and how to contact me in the event of technical issues or emergencies.

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Good Faith Estimate:

Your Right to a Good Faith Estimate
Under the law, health care providers are required to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate that includes:

• The total expected cost of any non-emergency services or items.

• Related costs such as intake sessions, individual therapy sessions, and other services.

Make sure to save a copy of your Good Faith Estimate.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

 

You are entitled to:

• Request a Good Faith Estimate in writing before scheduling a service.

• Receive a new estimate if your treatment plan or frequency changes.

Questions or More Information?
For more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises
or call 1-800-985-3059.