I acknowledge that the doctrine of Informed Consent has been explained to me and
I understand the contents to be released, the need for the information, and that
there are statutes and regulations protecting the confidentiality of authorized
information. I acknowledge that this consent is truly voluntary and is valid for one
year. I further acknowledge that I may revoke this consent to release information,
in writing, at any time except to the extent that action based on this consent has
been taken. I understand that Dr. Tracy L. Helmer will handle all information in
adherence to all confidentiality regulations, including HIPAA.
P.O. Box 8244Roanoke, VA 24014
My practice uses Teletherapy to provide services. Teletherapy has been scientifically shown to be as effective as in-person therapy and has the benefits of easier access, increased flexibility, and reduced wait times. Teletherapy does require a strong WiFi signal as well as good internet speed.