Availia Client Information

Services

Availia TeleHelp PLLC provides coaching, education, case management, and clinical behavioral health services. The specific services authorized for you are identified in your intake documentation. Clinical services are governed by separate clinical agreements, disclosures, and applicable state and federal law. Staff credentials do not determine the nature of the service being provided. Service type is determined by your authorization and this Agreement.

Service Types

Non-Clinical services include individual, couple, or family coaching;

case management; educational programs including anger management, theft education, ADIS, and parenting education; and MRT and DV-MRT, which are psychoeducational group programs and not therapy or clinical treatment. Clinical services require separate clinical authorization and include SUD assessment, DUI assessment, DOT SAP evaluation, brief intervention, and individual SUD counseling.

Confidentiality & Mandatory Reporting

Your privacy is protected under applicable state & federal law. A separate Clinical Notice of Privacy Practices is provided for clinical services. Confidentiality cannot be kept in the following circumstances: court orders, subpoenas, or professional audits; suspected abuse, neglect, or exploitation of a child per RCW 26.44 or a vulnerable adult per RCW 74.34, which staff are mandated to report regardless of consent; imminent & credible threat of serious harm to an identifiable person; medical emergencies requiring disclosure to medical personnel; & case management disclosures authorized by your signed ROI.

Telehealth & Virtual Services

Services may be delivered via secure video platform. Electronic transmission carries inherent privacy risks that cannot be fully eliminated. You may request in-person services at any time.

Financial Terms

Payment is due at the time of service unless a payment plan has been arranged in advance. A sliding scale is available for qualifying services through a separate application. Individual sessions and assessments require 24 hours advance notice to cancel or reschedule without a fee. No-shows and late cancellations are subject to the rescheduling fee in your fee schedule. This cancellation policy does not apply to group services. All fees are non-refundable. Program materials are for your personal use only and may not be reproduced or shared.

Emergencies

We do not provide crisis care; call 988 for Crisis Support or 911 for other emergencies.

Client Acknowledgments

By submitting this form you confirm that you have read and understood this Agreement, including the service types, confidentiality limits, financial terms, and emergency protocols described above.

This Agreement is governed by the laws of the State of Washington.

Questions or complaints may be directed to Administrator Duncan True, 316 West Boone Avenue Suite 669, Spokane WA 99201, 509-495-1222.

Availia TeleHelp PLLC and signee agree that any digital signature may serve the full legal effect and function of a handwritten signature.