You as the client understand that phone and online sessions are unique compared to in-person sessions, among differences being the lack of “personal” face-to- face interactions, the lack of visual and audio cues in the therapy process, and the fact that most insurance companies will not cover this type of therapy. You understand that online and telephone therapy may not be appropriate if you are experiencing a crisis or having suicidal or homicidal thoughts. If a life-threatening crisis should occur, you agree to contact a crisis hotline, call 911, or go to a hospital emergency room. You also understand that I follow the laws and professional regulations of the State of Iowa(USA) and the psychotherapy treatment will be considered to take place in the state of Iowa (USA).
Individual sessions:-Monday-Friday 7 a.m.-5 p.m. $100-Evening appointments after 5 p.m. & appointments on Saturday & Sunday $150
Group sessions:-Monday-Friday 7 a.m.-5 p.m. $40-Evening appointments after 5 p.m. & appointments on Saturday & Sunday $50
If you are under 18, you and Michelle will discuss communication of information with your guardians
• Disclosures required by health insurers or to collect overdue fees.• You should be aware that Sharing is Healing may need to share protected information with other professionals/partners for clinical/scheduling/billing issues. All these individuals have singed a HIPPA business agreement form agreeing to protect your private information and comply with all HIPPA guidelines.• If you file a complaint against Sharing is Healing I may disclose relevant information in order to establish any necessary defense/response.
As seriously as Sharing is Healing holds your information, I ask that you determine who has access to your computer and electronic information from your location. This would include family members, co-workers, supervisors and friends. I encourage you to only communicate through a computer that you know is safe, i.e. wherein confidentiality can be ensured. Be sure to fully exit all online counseling sessions and emails. If we are unable to connect or are disconnected during a session due to a technological breakdown, please try to reconnect within 10 minutes. If reconnection is not possible, if more than half of your session time remains, email to schedule a new session time.
Even if the therapist has agreed to keep information confidential – to not tell the parent or guardian – the therapist may believe that it is important for them to know what is going on in the child/teen’s life. In these situations, the therapist will encourage the child/teen to tell their parent/guardian and will help find the best way to tell them. Also, when meeting with parents, the therapist may sometimes describe problems in general terms, without using specifics, in order to help them know how to be more helpful to their child/teen.
Children/teens/dependent adults with guardians should also know that, by law in Iowa, the parent/guardian has the right to see any written records kept about sessions. It is extremely rare that a parent/guardian would ever request to look at these records and we ask parents/guardians to respect their child’s confidentiality to promote the goals of psychotherapy.
Michelle holds separate and isolated accounts to be used for the sole purpose of professional matters regarding Sharing is Healing. These accounts are separate from any personal accounts held by Michelle Roling as an individual.
Email communication is not completely secure or confidential. Any emails I receive from you and any responses I send to you become a part of your legal record. It may be helpful for you to update Michelle via email. Please know, most communication will not be responded to and will be discussed at subsequent sessions. You are also advised that any email sent to me via computer in a work-place environment is legally accessible by an employer. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. As a reminder, I cannot guarantee immediate response and request that you do not use these methods of communication to request assistance for emergencies.
Texting updates to Michelle may be helpful for you, please know, I will not respond to texting; information will be discussed at subsequent sessions. Any text message I receive from you becomes a part of your legal record. As a reminder, I cannot guarantee immediate response and request that you do not use these methods of communication to request assistance for emergencies.
I do not accept friend or contact requests from current or former clients (prior to 7 years of time passing) on any social networking site (Facebook, LinkedIn, etc.). Adding clients as friends on these sites can compromise your confidentiality and our therapeutic relationship.
I will not follow any client on Twitter, Instagram, blogs, or other apps/websites. If there is content you wish to share from your online life, please bring it into our sessions where we can explore it together.
It is not a regular part of my practice to search for clients on Google, Facebook, or other searchable sites. An exception could be during a crisis. If I have reason to suspect you are a danger to yourself or others and I have exhausted all other reasonable means to contact you and/or your emergency contact, then I may use a search engine for information to ensure your welfare. If this ever occurs, I will fully document the search and discuss it with you at your next session.
Please be aware if you use location-based services on your mobile phone you may compromise your privacy while attending session at my office. My office is not a check-in location on various sites such as Foursquare, however it can be found as a Google location. Enabled GPS tracking makes it possible for others to surmise you are a counseling client due to regular check-ins at my office location
Alternatives to psychotherapy include no treatment or medication therapy. Medication may be an option for assistance with managing the physiological/medical problems associated with mental health concerns and used in conjunction with therapy. The therapist you work with can assist you with a referral for a medical or psychiatric consultation if needed