Informed Consent to Counseling
Counseling is a collaborative process that supports emotional, mental, and spiritual well-being. By beginning services at Siddhani Wellness, you acknowledge the following:
You understand that counseling may involve discussing difficult topics and exploring sensitive emotions or experiences. While this can bring relief and insight, it may also temporarily bring up discomfort.
You are voluntarily entering into this therapeutic relationship and may pause or end sessions at any time.
Sessions may take place in person, by phone, or via video call. You understand that telehealth carries some limitations, such as interruptions or technological issues, and you agree to participate with awareness of these risks.
Stacy is not a licensed clinical therapist and does not provide emergency mental health services. If you are in crisis, you agree to seek immediate help from emergency services, a hospital, or crisis line.
Counseling at Siddhani Wellness is not a substitute for medical, psychiatric, or legal advice.
Privacy & Confidentiality Notice
Your privacy is important. All sessions are held in confidence, and what you share will not be disclosed without your written consent, except as required by law.
The following are legal exceptions to confidentiality:
If there is a risk of serious harm to yourself or someone else
Suspected abuse or neglect of a child, elder, or vulnerable adult
If records are subpoenaed by a court of law
In accordance with HIPAA guidelines and Connecticut privacy laws, all personal health information will be securely stored and protected. Stacy will never sell, share, or use your information for marketing purposes.
Fees, Cancellations, and Late Arrivals
To honor your time and ours, please review and agree to the following:
Sessions are by appointment only. Rates will be clearly shared in advance via email, website, or other written confirmation.
Cancellation Policy: Cancellations must be made at least 24 hours in advance. No-shows or cancellations within 24 hours may be subject to the full session fee.
Late Arrivals: If you arrive late, the session will still end at the scheduled time. Missed time cannot be made up or rescheduled.
Payment: Payment is due at the time of service unless otherwise arranged. Accepted forms of payment will be communicated prior to your session.
Please communicate any schedule changes as soon as possible—we understand life happens.