MIND/BODY MEDICINE
Your Subtitle text


Contact Dr Stonbely

Dr. Suzanne Stonbely  1000 Lincoln Road   Suite 225 Miami Beach (305)6048933

 Email  Dr Stonbely

I look forward to addressing any individual inquiries by phone or e-mail. If you would like to sign up for a complimentary newletter please advise under comments.  Inform me of any issues that interest you for my newslatter. Your email is kept confidential.


 

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:


Dr. Suzanne Stonbely

Informed Consent

INFORMED CONSENT


BENEFITS/RISKS
It is important that you know what to expect from telephone or online psychotherapy. We therefore, ask you to read, sign and mail us a copy of this informed consent as you begin your therapy.

Once we have established a relationship , the particulars of your situation will be discussed with you. Dr, Stonbely will present our understanding of the issue with which you want to work, our approach to the issue and the direction that your therapy might take. You will have ample time to consider what we propose before going forward.

Psychotherapy can be beneficial to most people who become involved in the process, however this cannot be guaranteed. Your commitment to your own growth will largely determine the benefits you will gain. There may be times we will need to refuse to treat situations we believe can not be handled appropriately, using the telephone or the Internet.

CONFIDENTIALITY
All information communicated between therapist and client will be held in confidence. No information will be released unless you make such a request in writing. However, in order to keep you and/or others safe, there is no confidentiality, should you disclose incidents of child or elder abuse, or threats of bodily harm to yourself or another.

In most legal proceedings, you hold the psychotherapist/patient privilege, which would protect information about your treatment. However, in the event of a lawsuit claiming emotional damage, the psychotherapist/patient privilege would not be protected.

RECORD KEEPING 
I will make brief, confidential notes of your sessions. My  policy is to place these records  and store them outside of our computers, to prevent access by unauthorized persons.

CANCELLATION POLICY
Notify us either by telephone or email at least 24 hours before your appointment and you will not be charged. You may either request a reschedule or cancel your session. If your notification is less than 24 hours of your scheduled session, you will forfeit your payment..

I have read and understand 1) the limits of psychotherapy, 2) the limits of confidentiality and, 3) cancellation policies. I am 18 years or ollder


 

Copyright . Dr. Suzanne Stonbely. All rights reserved.