Telemental Health Counseling / Phone & Video Sessions

Telemental Health Counselor


As a Board Certified Telemental Health Provider, (BC-TMH), I am able to offer you distance counseling via telephone and video sessions.

* Daytime, evening and Saturday hours are available.

* Fees are based on session time, fees are discussed in advance and are due at time of service.

* Currently, insurance does not cover this type of service.




* Instructions: Please complete, sign, and email these forms to me at or fax them to 941-343-2805.


* I must receive these forms prior to our initial session.


Client Consent and Information Form


Word Doc Form   PDF Form