Important Forms:
-New Client Intake Form
-Collaborative Marriage & Family Counseling Consent Form
-Electronic Payment Authorization Form
-Notice of Privacy Practices

Clients:  Please complete these forms and fax them prior to your first session or bring it with you completed.  Fax to 314-827-0074.

In Home Services | Licensure Supervision | Programs | E-Therapy and Phone Therapy

E-Therapy

E-Therapy offers personal private counseling or coaching through the speed and convenience of the Internet.  The main difference in E-Therapy is that you do not go to the therapist’s office.  Instead, you and the therapist use the Internet to exchange information.

Benefits of E-Therapy for the Client

• You only need access to the computer.
• Issues of transportation, weather, and illness do not stop E-Therapy.
• You can email to the therapist at your own convenience and speed.
• You can think, re-think, and rewrite the email as many times as you wish.
• You determine how much time or money you want to spend.

Benefits of E-Therapy for the Therapist

• I don’t have to be tied to a certain time frame and can give the email full attention at a time that is convenient for me.
• I can take time to make sure my response answers your questions.
• I do not have to come up with a quick answer off the top of my head as I do in face-to-face therapy.

• You get a response that you can reread as many times as you wish which makes it even more valuable.

How does E-Therapy Work?

• You email to me the issues and questions that you want explored.
• I read the material and then respond to your email.
• I try to respond as soon as possible, usually in 24-72 hours.
• If requests are received on the weekend, the response time may be longer.
• If I am going to be away or unavailable for a period of time, I will notify my

E-Therapy clients.

• You do not need to make appointment with me.  You can email on your own time frame.

Confidentiality and E-Therapy

1.      Both the client and I are responsible for maintaining confidentiality.  Due to the potential security risks associated with email communications and the Internet in general, the following precautions, exercised by the client, are required to insure that the communications are as secure as possible. 

2.      Remember that using email is never 100% secure.

3.      Protect others from gaining access to your computer by using a password to protect your files. 

4.      Do not use a computer at someone else’s place of residence or business.

5.      If you make a hard copy of our correspondence make sure you protect those copies and keep them safeguarded.

6.      Install a Firewall and maintain an updated anti-virus program to give maximum protection from a hacker or virus. 

Fees/Calculating Costs/Payment for E-Therapy

1.      The minimum fee is $30, which is based upon a 15 minute increment of time to process each client’s request, forms, read the email message, and respond.  Any additional time past the initial 15 minutes will be billed to the credit card at a rate of $2.00 per minute.  Clients may indicate a time limit for their requested response.

2.      Payment is made by credit card.  Please complete the “Electronic Payment Authorization Form” and forward to me via fax, email, or postal mail. 

Getting Started with E-Therapy

1. You must read, understand and agree to all the terms and conditions listed on this Web site, specifically the:
1. Notice of Privacy Practices
2. Terms and Conditions for E-Therapy or Phone Sessions
3. Confidentiality and E-Therapy
2. Provide payment information via the “Electronic Payment Authorization Form”
3. Fill out the “New Client Intake Form” and “Collaborative Marriage and Family Counseling Informed Consent”.   
4. Send required forms to me via email, fax, or postal mail.   I will contact you with my reply or if any questions or concerns arise.

Phone Sessions

Benefits of Phone Sessions

1. Provide clients with additional support during a challenging time.
2. Phone sessions can be provided in addition to or in place of office visits.
3. Allow clients to have a session with therapist when issues of weather, illness, or travel prevent client or therapist from getting to the office.

Fees/Calculating Costs/Payment for Phone Sessions

1.      The fee for a phone session is $30 per 15 minute interval.

Getting Started

1. Complete and return the following forms via email, fax, or postal mail:
1. New Client Intake Form
2. Collaborative Marriage and Family Counseling Informed Consent
3. Electronic Payment Authorization Form
2. Contact me via phone or email to set up a mutually agreeable time for a phone session.

Terms and Conditions for E-Therapy or Phone Sessions

• Clients must be at least 18 years of age.
• For E-Therapy you must have access to a computer and email and be able to put your thoughts into writing. A phone will be needed for Phone Sessions.
• E-Therapy or phone sessions are not for individuals who are in crisis or have serious mental health problems. 
• E-Therapy/Phone sessions are not for individuals who are suicidal or homicidal. 
• As the professional, I reserve the right to make the final decision whether or not I believe that my services are appropriate for the client seeking my services.
• Clients are expected to read the Notice of Privacy Practices before signing up for out-of-office services.  It will be assumed that you have understood, read, and agreed to these terms and policies upon signing up for my services.
• Fees are subject to change at any time.