Last Updated: March 4, 2023
By accepting (“click the link”), you, as a registered/authorized user (“you” or “User”), indicate that you have read, understand, accepted, and become legally bound to the following terms of this Consent for Mental Health Support Services Agreement (the "Consent Agreement") between Counslr, Inc. (“Counslr” or “Company”), where applicable, a mental health professional (“Counselor”) providing online (telehealth) services on the website, mobile apps or other electronic means controlled by Counslr (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”). By engaging the Services, you further agree that you have read, understand and consent to this Consent Agreement:
This Agreement governs and applies to your interactions with the “Counselors” on the Counslr Platform to receive Support Services:
You have read and understand the terms provided above. You have had the opportunity to ask questions about the Support Services to be provided and all of your questions have been answered to your satisfaction.
You may request a downloadable and printable copy of this form, either now or at any point in the future.
Before any exchange of your private information with any other counselor can be made, you must agree to our Authorization to Exchange Private Information: www.counslr.com/auth-exchange-pii