Telehealth services
There are additional procedures that we need to have in place specific to the Telehealth services. These are for your safety in case of an emergency and are as follows:
– You understand that if you are having suicidal or homicidal thoughts, experiencing psychotic symptoms, or in a crisis that we cannot solve remotely, your provider may determine that the Telehealth services are inappropriate and you need a higher level of care,
– An Emergency Contact Person (ECP) may only be contacted on your behalf in a life-threatening emergency,
– Please enter this person’s name and contact information below,
– You should verify that your ECP is willing and able to go to your location in an emergency. Additionally, if you, your ECP, or your provider determine, if necessary, the ECP agrees to take you to a hospital,
– Your ECP will be contacted only in the extreme circumstances stated above.
