Practice Policies

Practice Policies

    • Five Keys Charter School APPOINTMENTS AND CANCELLATIONS - Please let me know if you need to cancel or reschedule your appointment. 24 hours before is preferable. 
    • TELEPHONE ACCESSIBILITY - If you need to contact me between sessions, please text, call and/or leave a message on my voice mail. I am often not immediately available; however, I will return your call within the same day. 
    • SOCIAL MEDIA AND TELECOMMUNICATION - Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). 
    • ELECTRONIC COMMUNICATION - I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. MINORS - If you are a minor, your parents may be legally entitled to some information about your therapy. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential. 
    • TERMINATION - Please let me know if and when you may be planning to end therapeutic services so we may discuss a termination plan. 
    • BY SIGNING BELOW I AM AGREEING THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.
  • Date Format: MM slash DD slash YYYY
  • (if student is a minor)
  • Date Format: MM slash DD slash YYYY