Legal Agreement

Telehealth Consent Form

Please review this agreement before participating in virtual sessions.

What Is Telehealth

Virtual sessions are conducted through Zoom instead of an in-person visit. Mary sends the private Zoom meeting link only after the appointment is confirmed. Before participating, confirm that you can join from a private location and ask Mary any questions you have about privacy or virtual-session procedures.

Benefits & Considerations

Benefits

  • Convenient access from any private location
  • No travel time or commute required
  • Flexible scheduling options
  • Continuity of care regardless of location

Considerations & Risks

  • Technical issues may occasionally disrupt sessions
  • Confidentiality depends on your private, secure environment
  • Not appropriate for crisis or emergency situations
  • Some non-verbal cues may be harder to observe remotely

Client Responsibilities

  • You will join sessions from a private, quiet location free of distractions.
  • You are responsible for a stable internet connection and a working device with camera/microphone.
  • You understand that if you are in crisis, telehealth is not appropriate — contact 911 or 988 immediately.
  • You will notify the Practitioner of your physical location at the start of each session in case of emergency.

Your Acknowledgment

By continuing with telehealth services, you acknowledge that you have read, understood, and agree to the terms of this Telehealth Consent Form.

  • You consent to receive services via secure video conferencing
  • You understand the benefits, risks, and limitations of telehealth
  • You agree to notify the Practitioner of your location each session
  • You will seek in-person or emergency care when telehealth is not appropriate

Questions? Contact Mary

Reach out if you have any questions about telehealth sessions before your next appointment.

Contact Mary

Mary's Counselor's Couch

Emotional Wellness • Family • Empowerment • Resilience

This site provides emotional wellness support and counseling services. It is not a substitute for licensed medical or psychiatric care.

Contact
  • maryscounselorscouch@gmail.com
  • (728) 777-6422
  • Orlando / Kissimmee Area
  • Virtual sessions available nationwide.

🚨 If you are in crisis, please call 911 or your local emergency number immediately. This website is not for emergency use. For immediate mental health support, call or text 988 (Suicide & Crisis Lifeline).

© 2026 Mary's Counselor's Couch. All rights reserved. | Privacy Policy · Terms · Forms & Policies

Site Development by RRA Tech Zone LLCCedrick Randolph, Co‑Founder & IT Director.