To Begin online Sessions
- You must be at least 18 years old.
- You must not be suicidal or a threat to others - if so, go to If in Crisis
- Read Fees and Payment to understand the costs.
- Download the intake forms or request intake forms via email to email@example.com
- Complete the Intake forms and send as attachments to firstname.lastname@example.org or fax them to 913-362-8899
- We will set up a time for our first Skype, Doxy, or FaceTime session based on your preference. You should expect a response within approximately 48 hours of sending your email.
Before beginning sessions, please read Privacy & Confidentiality and Benefits & Limitations below for important information about online sessions. By submitting the Intake forms, you are acknowledging that you have read this information.
Fee & Payment Info
Each session is $130.00. Payment is due at the start of the session in the form of a credit card. I will ask for your credit card number, expiration date, zip code of billing address, and security code from the back of the card.
You will be sent an email receipt for charges immediately.
You may communicate with me through email at email@example.com, telephone at 913-362-8899, Skype/Doxy/FaceTime session, or fax 913-362-8899. You should expect a response within approximately 48 hours.
Benefits of online therapy
There are many potential benefits to receiving services online. The service is convenient. A client does not have to leave their home or office to attend a session. A client can participate in sessions while traveling. A client can send emails to me anytime they have a thought to be included in future sessions. A client may feel safer and more comfortable in his home. A client can schedule one or more sessions. There is increased flexibility of time. Sessions can easily be scheduled in the evenings. There is no travel involved. There is increased confidentiality with no office visit and no insurance billing. A diagnosis is not needed so non-clinical issues can be addressed. Normal issues can easily be discussed.
Limitations of online therapy
There can be some disadvantages to receiving services online. There is a possible increased risk of misunderstandings. A client or coach may not be able to correctly interpret each others body language and verbal cues. Communications outside of an office can increase problems with verifying identity. Technical failures must be planned for. There can be risks to confidentiality when using technology. There may be limits to the type or severity of issues that can be addressed.
When online therapy may not be the best option for you
Online therapy, counseling, and coaching should not be used if you are having thoughts of hurting yourself or someone else. Also, if you have a chronic mental illness, face-to-face therapy in an office may best address your needs.
A client can pursue counseling or guidance in person in their community. A client can speak to a friend or family member. A client can try exercising or meditating. A client can access a support group.
I am a licensed Therapist in the states of Kansas and Florida. If you are accessing my online services from within the state of Kansas or Florida, you will be receiving Therapy as defined by the Kansas & Florida licensing body. If you are accessing my online services from a location other than the state of Kansas or Florida, you will be receiving coaching and advising services.
Confidentiality & Privacy Practices
The confidentiality of client records is protected by Federal Law (cf 42 U.S.C. 29 Odd-3 and 42 U.S.C. 290ee-3 for Federal Laws and 42 CFR, Part 2 for Federal Regulations) and the HIPAA of 1996.
What this means is that I may not disclose to any person outside of our session that a particular person is participating in sessions, or disclose any information identifying a client as a client without a written release of information with these exceptions:
- The disclosure is allowed as part of a specific type of court order;
- The disclosure is made to medical personnel in a medical emergency;
- There is knowledge or reasonable suspicion of child endangerment that legally requires the reporting of this information;
- There is a Duty to Warn in the event that there is knowledge or reasonable suspicion that a client threatens harm against another person;
- There is knowledge or reasonable suspicion that you may hurt yourself;
- The disclosure is legally mandated by a Department of the Federal Government, i.e. the Department of Transportation under the Substance Abuse Professional referral process.
Violation of the Federal law and regulation by a person is a crime. Suspected violations may be reported to the United States Attorney in your district or to the Kansas Department of Substance Abuse Treatment and Rehabilitation.
Federal law and regulations do not protect any information about a crime committed by a client.
All charts are kept in locked filing cabinets and will be shredded five years after our last contact.
This notice is a summary of how your protected health information is used and disclosed and how you can obtain access to this information.
Uses and Disclosures of Health Information
I use health information about you for treatment and to evaluate the quality of care that you receive.
I may use or disclose identifiable health information about you without your authorization for several other reasons. Subject to certain requirements, we may give out health information without your authorization for public health purposes and for emergencies. I provide information when otherwise required by law, such as for law enforcement in specific circumstances. In any other situations, I will ask for your written authorization before using or disclosing any identifiable health information about you. If you choose to sign an authorization to disclose information you can later revoke that authorization to stop any future uses and disclosures.
Although your treatment record is the physical property of the healthcare practitioner that compiled it, the information belongs to you. You have the right to:
- Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522
- Obtain a paper copy of the notice of privacy practices upon request
- Inspect and obtain a copy of your health record as provided for in 45 CFR 164.524
- Amend your health record as provided in 45 CFR 164.528
- Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528
- Request communications of your health information by alternative means or at alternative locations
- Revoke your authorization to use or disclose health information except to the extent that the action has already been taken
Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.
If you are concerned that I have violated your privacy rights, or you disagree with a decision I made about access to your records, you may discuss this with me or send a written complaint to the U.S. Department of Health and Human Services.
My Legal Duty
I am required by law to protect the privacy of your information, provide this notice about my information practices, and follow the information practices that are described in this notice.
The Internet, like any network, can be monitored by criminals and hackers at any number of points. Many email and Internet chat programs are not secure. Positive steps can be taken to protect you from malicious third parties.
Use passwords to protect your privacy and keep them secure so no one else has access to them. Be sure your emails are either deleted or stored in a secure location. Emails and communications sent from a workplace computer may not be secure and may be the property of your employer.
When communicating by email, you have the option of using regular email, or one of many secure email services. Regular email is suitable in most situations, but has the possibility of being intercepted or monitored. Many secure email services are free, and enable you to send encrypted emails. Secure email services can be found from many sources including S-Mail, Comodo, or Hushmail among many others. If you choose to use secure email I will reply via the same mechanism.
Skype & FaceTime
Skype uses the AES (Advanced Encryption Standard*), also known as Rijndael, which is used by the US Government to protect sensitive information, and Skype has for some time always used the strong 256-bit encryption. User public keys are certified by the Skype server at login using 1536 or 2048-bit RSA certificates.
FaceTime communications are protected by end-to-end encryption across all of your devices when you use FaceTime. Apple has no way to decrypt FaceTime data when it’s in transit between devices. Apple doesn’t scan your communications. Apple does not store FaceTime calls on any servers.