I, the below signed, give consent for Devine Counseling Services LLC, to share healthcare- related communications with our family and our treatment team via email and or text message.

In accordance with the HIPAA Privacy Rule, Devine Counseling Services LLC,  uses appropriate safeguards to protect the privacy and security of electronic Protected Health Information (ePHI). ePHI is stored in an encrypted, HIPAA compliant environment. Additionally, email messages are sent using an encrypted connection -- Transport Layer Security (TLS). However, if a client’s email provider does not support TLS, Devine Counseling Services’ email system will fall back to an unencrypted connection.

By consenting, the above named client acknowledges that email messages and text messages may contain electronic Protected Health Information (ePHI), and also recognizes that email messaging is not a completely secure means of communication.

Clients are not required to give consent, and consent may be withdrawn at any time.