Teleheath consent

Assume the risks, benefits, and consequences associated with tele-health, including technology failures, interruption and/or breaches of confidentiality by unauthorized persons, and/or limited ability to respond to emergencies.

Show up on camera whenever possible, fully clothed.

Avoid use of drugs/alcohol/tobacco immediately before and during the session.

Sign in from a quiet, private space (not a moving vehicle) that is free of distractions (e.g., cell phone or other devices; partners/colleagues; children over age 1).  Note: You must be in Michigan or another U.S. location in which your therapist has legal permission from that state’s licensing board to work with you.

Keep confidential all information disclosed within sessions; signal if the situation becomes insecure.

No recording of any of the online sessions by either party.

Use a secure video-conferencing platform and internet connection rather than public/free Wi-Fi.

End and restart the session if technical problems occur. If unable to reconnect within 10 minutes, to contact each other by text or phone – with the understanding that it may be necessary to reschedule.

Show up on time. If all parties have not appeared within 10 minutes, we will check in via text or phone.

Notify each other in advance by phone or email if we need to cancel or change an appointment.

A safety plan that includes at least one emergency contact and the closest ER, in the event of a crisis.

Obtain permission for tele-sessions from your parent or legal guardian (and provide their contact information) if you are a minor.

Confirm with your health insurance provider (if you’re using health insurance) that behavioral telehealth is covered. (If not, you are responsible for full payment.)

Discontinue teletherapy in the event (e.g., thoughts of harm to self or others; lack of privacy/safety; a crisis that cannot be resolved remotely) that in-person sessions would be safer or more effective.