Dr. Idalia Massa-Carroll, PhD ask that all clients review the information below, which highlights appropriate use of, and potential privacy risks associated with, e-mail communication. After reading this paragraph, if you agree with these terms of communication, please click on the checkbox. E-mail communication provides a fast and easy way to communicate about issues that are non- urgent. I treat e-mail communications with the same degree of privacy and confidentiality as other forms of communication; however, there are known and unknown risks that may affect the privacy of personal health information (PHI) when using e-mail to communicate. I want you to be aware of these before agreeing to communicate with me by e-mail. For example, standard e-mail services, such as Gmail, AOL, Yahoo and Hotmail are not secure. This means that the e-mail messages are not encrypted and can potentially be intercepted and read by unauthorized individuals. In addition, messages can be viewed by the system administrator(s) of the Internet service provider and may be stored in the logs of such providers even after being deleted from the sender or recipients’ e-mail accounts. E-mail messages should never be used for emergencies or time sensitive situations. In the event of an emergency, you should immediately call 911. By using this form of communication, I hereby consent to electronic communication via non-secure e-mail services. I release Dr. Massa-Carroll and Colorado Psychological and Educational Assessment, LLC. (a.k.a. Colorado Psycho-Educational Assessment Services) from any and all liability that may occur due to electronic communication over a non- secure network.