2 Pick a time
Select a session type above to see available times.
Showing times in:
Scroll up or down to see all available times.
Selected:
4 Consent forms
Informed Consent for Telehealth Services - Jourdan Travers, LCSW
Welcome
Before we begin, please take a moment to read this form carefully. It outlines what you can expect from our work together, your rights as a patient, and the commitments we each make. Your signature indicates that you have read, understood, and agreed to the terms below.
About the Process
Psychotherapy and counseling involve exploring your experiences, thoughts, and feelings in order to build self-awareness and work through patterns that may no longer be serving you. This process can be deeply meaningful — and at times, temporarily uncomfortable. Growth often requires sitting with difficult material, and that is a normal and expected part of the work.
Fees
Sessions are billed at the rate indicated at the time of booking. Payment terms are established by Jourdan Travers, LCSW, and are outlined during the intake process.
Confidentiality
What you share in sessions is confidential. Jourdan Travers, LCSW will not disclose whether you are a current or past patient, nor share any session content with a third party, without your written consent.
There are limited exceptions to confidentiality required or permitted by law, including:
• Risk of harm — If you appear to pose an imminent risk of harm to yourself or another person.
• Abuse or neglect — If there is reasonable cause to believe that a child, elderly person, or person with a disability is being abused, neglected, or exploited.
• Minor patients — If you are under 18, your parent or legal guardian may have legal access to your records.
• Court order — If a court of law requires the release of your records. Please note that Jourdan Travers, LCSW will only provide written court documents for patients seen in person. Court-ordered documentation is not available through the telehealth platform.
Your Environment
You are responsible for ensuring you are in a private, secure, and distraction-free space for each session. The privacy of your physical environment is outside of this practice’s control.
Technology
Sessions are conducted via secure video platform and require a stable internet connection on your end. Neither Jourdan Travers, LCSW nor Therapytips.org is responsible for technical disruptions beyond their reasonable control. In the event of a significant connection issue, we will make reasonable efforts to reschedule or continue by alternate means.
Appointment Notifications
Automated email reminders will be sent to the address provided at booking. By signing this form, you consent to receiving these communications and acknowledge that email is not a fully secure medium for health-related information.
Scope of Services
Jourdan Travers, LCSW is qualified to work with a broad range of patients and concerns. If at any point your needs fall outside the appropriate scope of this practice, you will be supported in identifying a more suitable resource or referral. This service is not a substitute for emergency care. If you are experiencing a mental health crisis or medical emergency, please contact your local emergency services or call/text 988 immediately.
Liability
By signing this form, you acknowledge that Jourdan Travers, LCSW is an independent licensed professional, and that Therapytips.org functions as a booking platform only and is not a clinical service provider. You agree not to hold Jourdan Travers, LCSW, Therapytips.org, or their affiliates liable for outcomes arising from your participation in services, except where prohibited by applicable law.