Tele-Play Therapy Consent Form

I/ We agree to one or more of the following online/distance services for my child/youth to attend with Lorri Yasenik Counselling, and Consulting Ltd. via the Internet or Telephone Services.


Please read the following important information.  By clicking on the "next page" element you are indicating that you have read, understood, and agreed to the following  information.

  • About Online Video Sessions:
  1. Video sessions are utilized when in-office sessions are not convenient or possible, and only at the client’s request.
  2. Video Sessions can occur by telephone, tablet or computer. Sessions make use of proprietary software including:
    • Apple FaceTime
    • Zoom Meetings
    • Skype and Skype for Business OR
    • Equivalent Software Products