This form provides our clients with information about their treatment so that they can make informed decisions about their care. This information includes: The treatment approach, potential risks and benefits, alternative options, and the client's right to refuse treatment or withdraw consent at any time.
A telehealth consent form, also known as a telemedicine consent form, allows your healthcare provider to remotely diagnose and treat a patient using technology like video conferencing or phone calls.
This form ensures the privacy of patients is protected while allowing health data to flow freely between authorized individuals for certain healthcare activities.
This form offers information to the client on how to lodge a complaint, who has access to their health record, and the policies, regulations, and laws regarding supervisory and therapeutic relationships.
This is a supervised private practice. It is owned and/or managed by a master’s level, non-independent licensee under Board-approved clinical supervision pursuant to A.A.C. R4-6-211.
The Board-approved clinical supervisor of this practice is: Jodi Stone, MA, LPC
Phone Number: 602-670-1515
Email: jstonelpc@gmail.com
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