Signature:
My signature below indicates that I/we have reviewed, understand, and agree to the information provided regarding telehealth therapy services and consent to participation in telehealth therapy services with Choices in Counseling. By signing below, I/we also agree that I/we will only access telehealth services when I/we am/are physically located within the State of Indiana.
Complete the consent form below and press submit to participate in telehealth therapy with Dorian Angebrandt, LCSW:

(Using your finger, trackpad or mouse on your device please insert your signature in the box above)