Telehealth Information and Consent for Online Therapy

ASHLEY AUSIKAITIS, pH.d., ncsp

Ashley Ausikaitis, Ph.D., NCSPAshley Ausikaitis, Ph.D. is a licensed psychologist and certified school psychologist. She works with patients from ages 3 through adulthood, with a focus on working with children and adolescents. Dr. Ausikaitis obtained her Ph.D. at Loyola University of Chicago, and previously worked in the New York City Metro area with children and youth in family foster care and residential treatment centers as well as serving as the Director of Behavior Services ant Cerebral Palsy of Westchester and teaching graduate level courses. She has a background in working with individuals dealing with trauma, bereavement, anxiety, depression, family issues, bipolar disorder, borderline personality disorder, OCD, physical disabilities, and autism spectrum disorders.  

Dr. Ausikaitis is available for cognitive, achievement, projective, emotional, neuropsychological and psychological assessments well as individual and family therapy. She also provides school consultation services to families seeking advocacy services for special education. Her orientation includes cognitive behavior therapy, dialectical behavior therapy, and play therapy with a social justice and strengths-based approach. 

 

 telehealth forms

Click here to read and complete your telehealth form

IMPORTANT INFORMATION FOR THERA-LINK
Please be sure to read the thera-LINK information for Telehealth services with Dr. Ausikaitis.
Once you have read the the Consent Addendum for Online Therapy, Consent to Treatment & Message from Dr. Ausikaitis regarding thera-LINK, please complete the electronic consent submission below to begin your
thera-LINK services.

Click here to read thera-LINK information before you submit your consent below.


Consent Submission:

Reminder:  Be sure to click red link above to read the consent and thera-LINK information.

Welcome to thera-LINK, a secure video service for online sessions.  By typing your first, last name and email address below, you are consenting that you have read and agree to the two consent forms for the use of video technology for online therapy.  Please be sure you read the information fully.
Thank you!

Please enter a secondary phone number if you have one. Thank you!

If you have a secondary phone number, please fill it in as well. Thank you.