Telehealth Informed Consent Information

• Real-time, interactive video and audio communication
• Secure, HIPAA-compliant platforms designed for healthcare
• Same therapeutic interventions and treatment approaches as in-person therapy
• Professional licensing and ethical standards apply equally

• High-speed internet connection with sufficient bandwidth for video calling
• Device with camera and microphone (computer, tablet, or smartphone)
• Updated web browser or telehealth platform app
• Private, secure location where you can speak confidentially

• Stable internet connection to minimize disruptions
• Good lighting so your therapist can see you clearly
• Comfortable seating in a quiet, private space
• Backup communication method (phone) in case of technical difficulties

We use Doxy.me, a HIPAA-compliant telehealth platform specifically designed for mental health services. This platform includes:

• End-to-end encryption for all communications
• Secure data transmission and storage
• No recording capabilities without explicit consent
• Automatic logout features for security

• Geographic flexibility - Access therapy from your home or safe location
• Reduced travel time and costs - No commuting to appointments
• Scheduling flexibility - More appointment time options
• Comfort of familiar environment - Therapy in your own space

• Increased comfort for some clients - Reduced anxiety about in-person meetings
• Better attendance rates - Fewer missed appointments due to transportation or weather
• Continuity of care - Maintain therapy during illness, travel, or other barriers
• Family involvement - Easier to include family members when appropriate

• Internet connectivity issues may cause disruptions to sessions
• Audio or video quality may vary based on your internet connection
• Platform familiarity - Some time needed to become comfortable with technology
• Technical difficulties may require backup communication methods

• Physical observations may be more limited than in-person sessions
• Crisis interventions require different protocols for telehealth
• Certain therapeutic techniques may be adapted for virtual delivery
• Emergency response procedures differ from in-person sessions

• Privacy requirements - Need for confidential space during sessions
• Distractions - Potential for interruptions in home environment
• Professional boundaries - Maintaining therapeutic frame in informal setting

Telehealth therapy sessions are subject to the same privacy protections as in-person therapy:

• Protected Health Information (PHI) is secured through encrypted platforms
• Confidentiality standards remain the same as traditional therapy
• Privacy practices follow all applicable state and federal regulations

To maintain confidentiality during telehealth sessions:

• Ensure privacy - Use a private space where others cannot hear or see you
• Secure your device - Use password protection and log out after sessions
• Avoid public spaces - Do not participate in sessions from public locations
• Inform others - Let household members know you need privacy during session times

Our telehealth platform includes:

• No data storage on external servers after sessions end
• Encrypted transmission of all audio and video data
• Secure authentication requiring login credentials
• No recording capabilities without explicit mutual consent

Important: Telehealth therapy is not appropriate for mental health emergencies or acute crisis situations.

1. Immediate Safety: If you are in immediate danger, call 911 immediately
2. Inform Your Therapist: Alert your therapist to the crisis situation
3. Stay Connected: Remain on the video call unless directed otherwise
4. Follow Safety Plan: Implement crisis safety plans previously established

National Crisis Resources:

• National Suicide Prevention Lifeline: 988
• Crisis Text Line: Text HOME to 741741
• National Domestic Violence Hotline: 1-800-799-7233

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Wisconsin Crisis Resources:

• Wisconsin Crisis Line: 1-800-985-5990
• Text "TALK" to 741741

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Minnesota Crisis Resources:

• Minnesota Crisis Line: 988
• Text "MN" to 741741

Your therapist will:

• Assess safety and determine appropriate level of intervention
• Contact emergency services if immediate danger exists
• Coordinate with local resources in your geographic area
• Follow up with appropriate safety planning and support

Lorrie Ogren is licensed to provide telehealth therapy services in:

Wisconsin:

• License Type: LPC
• Licensing Board: Wisconsin Department of Safety and Professional Services

Minnesota:

• License Type: LPCC
• Licensing Board: Minnesota Board of Behavioral Health and Therapy

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• Client Location: You must be physically located in Wisconsin or Minnesota during all telehealth sessions
• Therapist Location: Your therapist will be located in Wisconsin or Minnesota during sessions
• Legal Compliance: Services comply with Wisconsin and Minnesota telehealth regulations

Wisconsin and Minnesota require specific informed consent for telehealth services:

• Voluntary participation - Telehealth therapy is completely voluntary
• Right to refuse - You may decline telehealth services at any time
• Alternative options - In-person therapy alternatives will be discussed
• Documentation - Consent for telehealth services will be documented in your record

• Same standards of care as in-person therapy
• Professional competence in telehealth service delivery
• Appropriate treatment planning adapted for telehealth delivery
• Ethical practice following all professional guidelines

• Confidential treatment with same privacy protections
• Secure communications through encrypted platforms
• Control over recordings - no sessions recorded without consent
• Privacy practices disclosure and explanation

• Voluntary participation - no requirement to use telehealth
• Option to withdraw consent at any time without penalty
• Alternative services - access to in-person therapy options
• Technology alternatives - different platforms if needed

• Clear explanation of telehealth processes and procedures
• Technology training and support for platform use
• Regular check-ins about telehealth experience and satisfaction
• Open communication about any concerns or limitations

• Test technology - Ensure your device and internet are working properly
• Prepare your space - Find a private, comfortable location
• Minimize distractions - Silence phones and close other applications
• Have backup plan - Know how to reach your therapist by phone if needed

• Professional attire - Dress as you would for an in-person appointment
• Full engagement - Minimize multitasking and distractions
• Clear communication - Speak clearly and ask for clarification if needed
• Respect boundaries - Maintain the same therapeutic boundaries as in-person therapy

If technical problems occur during a session:

• Stay calm and try basic troubleshooting (restart, check connection)
• Contact by phone using the backup number provided
• Reschedule if needed - Sessions may be rescheduled if technical issues persist
• No additional charges for technology-related session disruptions

• Telehealth sessions are billed at the same rate as in-person sessions
• Technology fees - No additional charges for telehealth platform use
• Payment methods - Same payment options as in-person services
• Cancellation policy - Standard 24-hour cancellation policy applies

Important Note: Lorrie Ogren does not accept insurance. All services are fee-for-service.

• Self-pay rates apply to all telehealth sessions
• Payment due at time of service or as arranged
• Good Faith Estimate provided as required by federal law

1. Schedule consultation to discuss telehealth options
2. Complete intake paperwork including telehealth-specific consent
3. Technology test session to ensure platform functionality
4. Establish backup protocols for emergency and technical difficulties

• Regular technology check-ins to address any platform issues
• Feedback opportunities about your telehealth experience
• Flexibility to transition between telehealth and in-person sessions as needed
• Continuous assessment of telehealth effectiveness for your needs

For questions about telehealth services or technical support, please contact:

Lorrie Ogren Integrative Therapy

Lorrie Ogren, MA, LPC, LPCC

Licensed in Wisconsin and Minnesota

Phone: 1-715-333-3446

Website: https://lorrieogren.com

Emergency Contact: Use crisis numbers listed above