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* How to Start * Therapy Agreement
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 | About Feelings Network 1-888-693-8437 ext. 01966126  |
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Suicide Help
By Telephone - Call
1-800-SUICIDE
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New clients only: We need your questionnaire and your your session,
along with the notice of payment (which comes automatically). The
questionnaire serves as your identifier and it will help us to most effectively evaluate your situation. We will also send you information about internet security and information about your therapist. A chat may be requested any time after your first email session. Within 24 hours
after we receive your completed questionnaire, we will begin reading and responding to your 30-minute email session. If you have written a long session, more than can be
read and responded to in one 30 minute session, we will save the work for your
next session, or you may instruct us to work for another 30-minutes to complete more extensive writing. To request a chat, please send us 3 choices of day, date, and time, and let us know if you have an AOL,
MSN, or Yahoo screen name. We'll select one of your choices of times, send you that selection, and then give you instructions for how we will meet you at that time. There is also an alternative way to chat through this website.
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If you have problems signing up, please feel free to contact me personally. I'll help you through the process to get started with your therapy. We value your trust and appreciate the opportunity to provide guidance with your current concerns.
Warmest regards, Dr. Judith L. Allen
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Therapy Agreement--Signing up for a session with a private talk indicates that you have read and agree to the following:
1 You are over age 18, and that you will provide your birth date for your records, as well as your
address and phone number. These are required and will be kept confidential
as required by law. 2 If you are currently in therapy
with another licensed therapist, that you have informed your therapist
that you are seeking online support. 3 You are under psychiatric care
if you have been diagnosed with a psychotic disorder, or you are have
thoughts and plans for suicide. *If you are feeling suicidal read what Martha Ainsworth has to say* 4 You are attesting that you are the owner of the charge card you have used to
sign up for professional services, or that you have the permission of the card holder. 5 You are attesting that you are aware that the delivery of mental health services over the internet is still considered experimental, and although techniques used for the actual therapy may be based on research, the effectiveness of internet therapy is not. For this reason, it is extremely helpful for us to receive feedback about your experience with the online therapy. 6 You are attesting that you are aware that internet communication security is not
perfect. Further that you are aware that your records on your computer may be viewed by
family members, your employer, or by technicians who repair equipment. 7 You are attesting that you understand that etherapy will not be continued if it is determined that you do not fit the criteria for the above agreement, or that you are not a good candidate for online etherapy for other reasons such as lack of motivation, non-compliance with payment or boundary requests,
not being honest with your therapist and other
disregard for the seriousness of the process. Recommendations will be made at that time for you to seek office
treatment in your location. 8 You are attesting that your inquiry is for personal therapy, and that you are not conducting research for any type of reporting, private or public. If you do not understand any statement above,
send an inquiry before beginning.
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Your private therapy records are confidential. This confidentiality may be challenged by a court of law, or by law enforcement authorities who are contacted for suspected child, spouse, elder abuse,
or web stalking and harassment. We will also make every attempt to report threats to harm yourself or others, as part of sound clinical practices.
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Division of the About Feelings Network
Private Counseling, Education, and Referrals Over the Internet Since 1997
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