Telehealth Information & Consent for Online Therapy

Kariann Hickein, LCSW-R

Ms. Hickein specializes in the treatment of adults 18 and up.  Practicing since 2001, she has experience treating depression, anxiety, anger, interpersonal difficulties, substance abuse, grief, personality disorders and serious, persistent, chronic mental health issues.  Prior to joining WNY Psychotherapy Services, she earned her Master of Social Work from the University at Buffalo.  She worked as a clinician as well as the Senior Clinical Supervisor at a local outpatient mental health facility. 

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 Kariann Hickein.
Once you have read the the Consent Addendum for Online Therapy, Consent to Treatment & Message from Kariann Hickein 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!