Informed Consent to Telehealth Treatment
Below, you will find important information about the services provided and the rights and responsibilities of our clients. By continuing with treatment, you confirm that you have read, understood, and agreed to the terms outlined here.
Last Updated: November 6, 2024
Entities Covered by This Notice
This consent applies to Thriving Center of Psychology and its affiliated entities:
Therapy Services
- Thriving Mind Psychology, PLLC (MA, MN, NV, NY, OR, DC, IL)
- LA Performance Psychology, PC (NE, TX, WA, CA)
- Thriving Center of Psychology, LLC (FL)
- Thriving Center for Psychology NJ, LLC (NJ)
- Thriving Center of Psychology NM, LLC (NM)
- AA Psychology, PLLC (All States)
Psychiatry Services
- Thriving Mind Psychiatry, PLLC (NY)
- Thriving Center of Psychiatry, PC (CA, WA)
Informed Consent for Treatment
1. Treatment Information
Thriving Center of Psychology offers psychotherapy and medication management services. Therapy is a collaborative process where mental health concerns are assessed and treated using evidence-based techniques.
Benefits and Risks
- Potential Benefits: Reduced distress, improved coping skills, enhanced relationships, and personal growth.
- Potential Risks: Emotional discomfort, recalling difficult memories, or temporary worsening of symptoms.
Active participation is key to achieving your treatment goals. While your provider will guide the process, no guarantees can be made regarding outcomes.
Professional Relationship
Your relationship with your provider will remain professional, and mutual respect is expected throughout the therapeutic process.
2. Telehealth Consent
Telehealth services allow you to receive care remotely via secure video or audio platforms.
Benefits
- Convenient access to care from a location of your choice.
- Reduced travel time and scheduling flexibility.
Potential Risks
- Disruptions due to technology failures.
- Limitations in non-verbal observations during remote sessions.
Providers will assess whether telehealth is appropriate for your care and may recommend in-person sessions if needed.
Emergency Protocols
- If disconnected during a session, your provider will attempt to reconnect or contact you using your information on file.
- For immediate support during a mental health crisis, call 911 or the National Suicide & Crisis Lifeline at 988.
3. Medication Management
If deemed appropriate, your provider may recommend medication as part of your treatment plan. Medications will only be prescribed by providers licensed in your state.
Your Responsibilities
- Take medications as prescribed and report any side effects.
- Inform your provider of all current medications, vitamins, or supplements.
- Do not share, sell, or misuse medications.
Your provider will explain potential benefits, risks, and alternatives to medication use.
4. Confidentiality
Your sessions and treatment records are confidential, with the following exceptions:
- If you pose a danger to yourself or others.
- If there is suspected abuse or neglect of a child, elder, or dependent adult.
- If required by a court order or subpoena.
Providers may consult with other professionals to enhance your care, but identifying information will be shared only when necessary and within legal guidelines.
5. Records and Documentation
Your treatment records will be securely stored for a minimum of ten years. If you require access to your records, please contact Thriving Center of Psychology.
6. Consent for Minors
For clients under the age of 18, parents or legal guardians must provide consent for treatment. While parents may receive general updates, maintaining confidentiality with the minor client is essential to the therapeutic process.
7. Pre-Licensed Clinicians
Some services may be provided by pre-licensed clinicians under the supervision of licensed providers. These clinicians adhere to the same ethical and legal standards. Your provider will inform you if your clinician is pre-licensed and share the name of their supervisor.
8. Risk Disclosure
Providers may not immediately review intake forms, emails, or voicemails. If you are experiencing an emergency or unsafe situation, please call 9