I acknowledge I have received notice of HCO's HIPAA Privacy Practices and consent to the use of my health information for treatment, payment, and healthcare operations.

I consent to receive appointment reminders, follow-up messages, and care coordination via text message to the phone number I provided. Reply STOP at any time to opt out.

I consent to receiving telehealth services via secure video platform if I select online sessions. I understand I have the right to withdraw this consent at any time.

I agree to HCO Behavioral Health's Terms of Service and Cancellation Policy (24-hour notice required to avoid late cancellation fees).