Nancy Shaw, MA, LCPC, NCC, BC-TMH
Soulpath Counseling Services, Inc.
Use of Electronic Communication Consent Form
Risk of Using Electronic Communication (EC)
Transmitting personal/counseling information by electronic communication (email, text, etc.) has a number of risks that you the client should consider. These include, but are not limited to:
Conditions for the Use of Electronic Communication at Soulpath Counseling Services/Nancy Shaw, LCPC
As your clinician, I will use EC only with prior permission and consent from you, the client. I cannot guarantee full confidentiality should you choose to communicate via EC. I am not liable for the improper disclosure of confidential information that is not caused by my own intentional misconduct. You must acknowledge and consent to the following conditions: