Important information and polocies about our decision (yours and mine) to resume in-person services in light of the COVID-19 public health crisis. Please read this carefully and let me know if you have any questions. When you sign this form, it will be an official agreement between us.
Your Responsibility to Minimize Your Exposure to obtain services in person, you agree to take certain precautions which will help keep everyone (you, me, and our families, and other patients safer from exposure, sickness and possible death. If you do not adhere to these safeguards, it may result in our starting / returning to a telehealth arrangement.