PAYMENT & TELEHEALTH NOTICE

Serenity Healthcare Services PLLC is a cash-pay practice.
Payments are due at the time of scheduling.
Superbills may be provided upon request.

All appointments are delivered via HIPAA-compliant telehealth unless otherwise stated.

TELEHEALTH CONSENT

Last Updated: 2025

By booking an appointment, you acknowledge and consent to telehealth services with Serenity Healthcare Services PLLC.

What Telehealth Is

Telehealth involves medical or psychiatric services delivered via electronic communication instead of in-person visits.

It may include:

• Video sessions

• Phone sessions

• Electronic transmission of health information

Benefits of Telehealth

• Convenience

• Access to care

• Continuity of treatment

Risks of Telehealth

• Technical failures

• Limited physical examination

• Potential security risks despite HIPAA protections

Patient Expectations

You agree to:

• Be in a private, quiet location

• Not drive or operate machinery during sessions

• Use a stable internet connection

• Attend all scheduled visits

Provider Responsibilities

We agree to:

• Provide HIPAA-compliant telehealth

• Maintain confidentiality

• Deliver clinically appropriate care

Consent

By continuing with telehealth appointments, you voluntarily consent to treatment under telehealth protocols.