We are providing tele-health sessions whenever needed for our clients. We are using an encrypted HIPPA compliant platform to protect your confidentiality. This kind of therapy is different as there is a screen between us, and yet it is not less. We have found the connection and potential for healing is available and ready for you to move into. Reasons why tele-health is a necessary option for you: sickness in yourself or someone you have had contact with, lack of childcare, long distance preventing seeing us in person, postpartum/young baby, etc.
You are responsible for cancelling and rescheduling your appointments 24 hours prior to appointment or the cancellation fee will apply. You will need to set up an active credit or debit card on file to charge your copay/session fee prior to your appointment.
In order to have a tele-health appointment, you are required to fill out the informed consent below. Options on how to do that: You can print it off, sign it, and mail it to me. You can print it off, sign it, and take a picture of it and send it to us electronically. You may download the free APP : Adobe Fill and Sign, and then sign it on your phone and send it back to us electronically.
Please take good care of yourself during these unprecedented times and stay in touch.
All the best,
Ashley Brockus, MS LCMFT
Bryan Brockus Jr. MS LMFT
You are responsible for cancelling and rescheduling your appointments 24 hours prior to appointment or the cancellation fee will apply. You will need to set up an active credit or debit card on file to charge your copay/session fee prior to your appointment.
In order to have a tele-health appointment, you are required to fill out the informed consent below. Options on how to do that: You can print it off, sign it, and mail it to me. You can print it off, sign it, and take a picture of it and send it to us electronically. You may download the free APP : Adobe Fill and Sign, and then sign it on your phone and send it back to us electronically.
Please take good care of yourself during these unprecedented times and stay in touch.
All the best,
Ashley Brockus, MS LCMFT
Bryan Brockus Jr. MS LMFT
HERE IS THE FORM:
| tele_informed_consent_form.pdf |
