By using this service, I agree to the following:
I understand that I must be at least 18 years of age to
use this online counseling service. I understand that
online counseling is not appropriate if I am
experiencing a crisis, or having suicidal or homicidal
thoughts. If a life-threatening crisis should occur, I
agree to contact a crisis hotline, call 911, or go to
the hospital emergency room. I understand that
information shared with the therapist is confidential.
Exceptions include information regarding intentions to
harm myself or others, my records being subpoenaed by a
judge for court proceedings or information regarding a
child being abused. Otherwise, information regarding my
treatment may only be shared with others by my signing a
release of information (please review the Privacy
Notice).
I
understand the limitations of online counseling, and I
agree that my online therapist and staff will not be
held liable for any special, incidental, indirect, or
consequential damages or loss arising from the use or
inability to use the professional services offered. I
also understand that my therapist follows the laws and
professional counseling regulations of the State of New
Jersey (USA).
Ready?
Once you
have
submitted an email
detailing your problem, you will
receive a confirmation email to notify you that your
message was received. Please click on the PayPal
button on this site to make a payment for the session
($35.00 U.S.). If you don't already have an account,
you may establish one by clicking on the PayPal
button. (Please note that an account is not required to
make a payment with PayPal.)