Telehealth Release

Telehealth Consent & Release Form

Before we can begin telehealth sessions, this form must be completed.
You can download the TeleMental Health Consent & Release Form here.

Please follow these steps:

1. Download and review the TeleMental Health Consent & Release Form.
2. Fill out all required fields.
3. Print, sign, and date the form.
4. Email the completed form to scolosetti@gmail.com.

This release is required to confirm your consent to participate in telehealth services and outlines important information regarding confidentiality, technology use, and emergency procedures.

If you have any questions while completing the form, please reach out before your scheduled session.