Last Updated: March 4, 2023
By accepting (“click the link”), you, as a registered user (“you” or “User”), indicate that you have read, understand, accepted, and become legally bound to the following terms of this Authorization to Exchange User’s Private Health Information (the "Authorization”) between Counslr, Inc. (“Counslr” or “Company”), mental health professionals (“Counselors”) providing online (telehealth) services on the website, mobile apps or other electronic means controlled by Counslr, Inc. (collectively, the “Platform”), and you for the purpose of providing you, someone under the age of 18 years of age or who lacks the capacity to grant consent (“Minor User”), or other person over the age of 18 years (“Other User”, and with you and Minor User, collectively “Users”) with Support Services (as defined below) administered via a telehealth platform (collectively, the “Services”).
This Authorization governs and applies to your interactions with the Counselors on the Counslr Platform to receive Support Services:
By engaging the Services, you further agree that you have read, understand and consent to this Authorization.
You may request a downloadable and printable copy of this form, either now or at any point in the future.
Please ensure you have also reviewed our Consent for Mental Health Support Services: https://www.counslr.com/telehealth-support-consent