Psychotherapy Consent Form (Online)
Introduction:
This consent form provides important information about online psychotherapy services, including both individual and group therapy. Please read this document carefully and ask any questions you may have before proceeding.
1. Purpose of Therapy:
Online psychotherapy aims to support individuals in understanding and managing their emotions, thoughts, and behaviors through virtual sessions. It can help with various concerns, including mental health issues, personal growth, and relationship difficulties.
2. Online Individual Therapy:
In online individual therapy, you will meet one-on-one with a licensed therapist via a secure video conferencing platform. The focus will be on your personal issues and goals.
3. Online Group Therapy:
In online group therapy, you will participate in a therapy session with a group of individuals who share similar concerns or goals. Group therapy offers support from peers and facilitates shared learning and growth.
4. Confidentiality:
All information shared during online therapy sessions is confidential and will not be disclosed to others without your consent, except in the following circumstances:
If there is a risk of harm to yourself or others.
If there is a suspicion of abuse or neglect.
If required by law or legal proceedings.
Please be aware that while we use secure platforms, there is always a risk of potential breaches of confidentiality in online settings. We recommend using a private, secure location for your sessions.
5. Technology and Security:
You will need a reliable internet connection, a compatible device, and a private, secure space for your sessions. It is your responsibility to ensure that your technology is working properly and that your environment is private.
6. Risks and Benefits:
Online therapy can offer flexibility and convenience. However, it may involve technical issues or distractions that could affect the quality of the session. There are no guaranteed outcomes, and progress may vary from person to person.
7. Participation:
Your participation in online therapy is voluntary. You have the right to withdraw from therapy at any time. If you choose to do so, please discuss this with your therapist.
8. Fees and Payment:
Please refer to the attached fee schedule for information on session costs and payment policies. Payment is expected before the time of service unless otherwise arranged.
9. Cancellation Policy:
Please provide at least 24 hours’ notice if you need to cancel or reschedule an appointment. A fee may be charged for missed or late-cancelled appointments.
10. Consent:
By clicking the box, you acknowledge that you have read and understood the information provided. You consent to participate in online individual and/or group therapy and agree to the terms outlined above.