Telehealth Information & Consent for Online Therapy 

john perak, LCSW-R

Mr. Perak is a Licensed Clinical Social Worker with over 25 years experience specializing in Family Services/therapy, Mental Health, Addictions and Recovery from Addictions, Trauma Treatment, Geriatrics, and has knowledge of Developmental Disabilities. He works with ages 8 years old and up. He provides individual, family, couples, marital, and parent-child counseling, including therapy/counseling for people in co-dependent relationships. Mr. Perak worked in multiple treatment settings including inpatient and outpatient treatment in public and private settings. His clinical approach is Psychodynamic, oriented in Client Centered Therapy, Solution Focused Therapy, Brief Psychoanalytic Therapy, and Relationship Therapy utilizing Transactional Analysis, and Script Analysis. He will utilize behavior therapies as needed. Mr. Perak received his B.S.W. degree from Buffalo State College, and His M.S.W. degree from the University of Albany Graduate School of Social Work in 1986.

 

telehealth form

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 John Perak.
Once you have read the the Consent Addendum for Online Therapy, Consent to Treatment & Message from John Perak 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 provide a secondary phone number if you have one. Thank you!