Telehealth Notice -

2024: UPDATE- The continued challenges of providing care via technological means and the continued reductions in Medicare Fee schedule for Telehealth services makes continuing to offer this service unsustainable for a small business.  I will no longer offer services primarily by Telehealth beginning in 2025.

Telehealth is the practice of delivering clinical health care services by any means other than in-person or face to face.  Telehealth is healthcare provided by via technology assisted media, other electronic means, or by telephone.  In Telehealth services, medical and mental health information is used for diagnosis, consultation, treatment, psychotherapy, follow up and education.


The client has the right to withdraw consent to participate in Telehealth care at any time without affecting future care, services, or benefits to which they would otherwise be entitled.

There are potential risks, benefits, and consequences associated with Telehealth, including but not limited to, disruption of transmission by technology issues, interruption and or breaches of confidentiality by unauthorized persons, and the limited ability to respond to emergencies.

Telehealth is currently a covered service under Medicare and is billed like a typical office visit.  Clients remain financial responsibility for payment of all applicable co-pays, co-ins, and deductibles.

Prior to the COVID-19 Public Health Emergency Medicare allowed telehealth to occur under very specific rules and this was not a service I was able to offer.  
 
It should be understood that Telehealth rules and requirements are subject to the changes by CMS/Medicare.  In addition Medicare may require an in-person appointment prior to the start of a telehealth episode of care and at specific intervals there after.

Although Medicare may continue to allow the provision of care via Telehealth it is up to each individual provider to decide if this is a type of care they will offer in their practice. 

There will be NO recording of any Telehealth sessions by either the client or this provider.  All information and the content of Telehealth sessions, including the written record are confidential. Protected Health Information and may not be disclosed without written authorization; except where disclosure is permitted or required by law.

Telehealth may not be appropriate for all condition and may not be appropriate for all circumstances.  A higher level of care may be needed for those experiencing severe symptoms, active suicidal or homicidal thoughts, and or crisis.  Electronic communications should not be used for emergency communications or requests.

If there are any technical difficulties or service interruptions please call me at my office phone:

831-471-5044

Emergency Contacts and Protocols

In the case of a crisis or Mental Health Emergency I will communicate with the Emergency Contact you have listed on your Intake Questionnaire.  If there is no one listed or if I am not able to reach this person, I will alert your Primary Care Provider and or local Crisis Services.

24/7 Crisis Services and Resources

National Suicide Prevention Hotline 
988 and or                   
1-800-273-8255

Suicide Prevention Service of the Central Coast
1-877-663-5433  or 1-877-ONE-LIFE or 831-458-5300

County of Santa Cruz Adult Mental Health Dept.        
1-800-952-2335

Santa Cruz Psychiatric Health Facility 
Phn: 831-600-2801
Location:  2250 Soquel Avenue, Santa Cruz, California  95062