Telehealth Information & Consent for Online Therapy

MARY JO GERVASE, LCSW-R

Ms Gervase works with children ages 3 and up, adolescents, adults and geriatric populations. Individualized Treatment Modalities with an eclectic and holistic approach tailored to the individuals needs including: Cognitive- Behavioral, Psycho-educational, Trauma focused, Mindfulness, Meditation and Movement, Play Therapy, Strength based, Task Centered, Empowerment and Solution focused.

 Ms. Gervase is a school based Social Worker with extensive special education, school related concerns,  trauma informed care experience, and behavioral intervention strategies preschool through school age.  She has hospital based inpatient and outpatient Medical Social Work experience. In addition, Ms Gervase has over 30 years of experience working with persons with developmental disabilities, and their families. Also, experienced at addressing issues related to the LGBT community.

Specialty areas include play therapy, childhood trauma, and behavioral concerns as well as adjustment to medical conditions and chronic illness for athletes and non athletes, life changes, grief and loss, Interpersonal relationship issues, career changes, depression, social phobia, stress management, PTSD, family of origin issues, sexuality, and eating disorders. Ms Gervase received her MSW from The State University of New York at Buffalo in 1993.

 Assessment/ Referral and Coordination of Care with other Providers as needed including: Primary Care MD., Specialty Providers, Occupational and Physical therapists.  

thelehealth 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 Mary Jo Gervase.
Once you have read the the Consent Addendum for Online Therapy, Consent to Treatment & Message from
Mary Jo Gervase 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!