Telehealth Informed Consent, Website AI Assistant Disclosure & Crisis Notice

Telehealth services described in this Part A are provided by the independently licensed behavioral health clinicians the Practice engages (each, a "Clinician"), each of whom is a health care professional under Ohio law (Ohio Rev. Code § 4743.09(A)(3)(k)) and is licensed by the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Where this Part A refers to "the Clinician" in the singular, it means the Clinician who provides or would provide your care. The Practice tells you who that is, and where that Clinician is licensed or registered, before care begins.

Joselyn Vasquez, LISW-S, the Practice's owner and Clinical Director, is a Licensed Independent Social Worker with Supervision Designation, Ohio License No. 1440311. Every other Clinician the Practice engages is separately and independently licensed, and the Practice publishes each one's credentials at https://queztherapy.com/therapists. You may verify any of these licenses at any time, free of charge, at the Board's online license verification site — https://elicense.ohio.gov/oh_homepage — which is linked from this Site's footer consistent with Ohio Administrative Code 4757-5-13(M)(5).

Ohio law authorizes an independent social worker to provide behavioral health services by telehealth (Ohio Rev. Code §§ 4743.09, 4757.50). "Telehealth" (sometimes called "teletherapy") means delivering services using live, synchronous, interactive audio and/or video technology in place of an in-person visit (Ohio Admin. Code 4757-5-13(A)). Ohio does not require an initial in-person visit before telehealth begins (Ohio Admin. Code 4757-5-13(C)).

The Practice also accepts clients who are physically located in the State of Florida. Services to those clients are delivered by telehealth only, in accordance with Florida law, including Fla. Stat. § 456.47 and Fla. Stat. ch. 491. Section 456.47(1)(a) defines "telehealth" as the use of synchronous or asynchronous telecommunications technology by a telehealth provider to provide health care services, and § 456.47(2)(a) requires a telehealth provider to practice in a manner consistent with that provider's scope of practice and with the prevailing professional standard of practice for a health care professional who provides the same services in person. Chapter 491 — "Clinical, Counseling, and Psychotherapy Services" — is the Florida chapter governing the practice of clinical social work and the related psychotherapy professions; it is administered by the Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling within the Florida Department of Health (Fla. Stat. § 491.004). The Practice maintains no office in Florida and offers no in-person services there.

Plain language: Ohio law lets your Clinician see you over live video or phone instead of in person, without an in-person visit required first — as long as the rules in the rest of this Part A are followed. The Practice also sees clients who are in Florida, and those sessions are always by secure video or phone, never in person.

The Practice accepts clients in two states, and only two: Ohio and Florida. In Ohio, services are offered in person at the Stow office and by telehealth anywhere in the state. In Florida, services are offered by telehealth only, to clients who are physically located in Florida at the time of the session. The Practice holds no authorization to deliver services to a client located in any other state.

Under Ohio's teletherapy rule, the law that governs a session is the law of the place where you are located when the session happens — not the place where the Clinician is located. A licensee serving a client who is physically present in Ohio must be licensed in Ohio (Ohio Admin. Code 4757-5-13(A)(1)), and a licensee serving a client located outside Ohio "shall comply with the laws and rules of the jurisdiction where the client is located at the time services are rendered" (Ohio Admin. Code 4757-5-13(A)(2)). Florida applies the same logic from its own side: Fla. Stat. § 456.47 governs the delivery of health care services by telehealth to a person located in Florida, and Fla. Stat. ch. 491 governs the practice of clinical social work there. Every other state likewise regulates who may deliver behavioral health services to a person sitting inside its borders, and the Practice is not authorized under any of those other regimes.

For that reason, the Practice requires that you be physically located within the State of Ohio or the State of Florida at the time of every telehealth session, and that you tell the Clinician which of the two you are in at the start of the session. This is the Practice's policy, adopted so that every session is delivered under a body of law the Practice is authorized to practice under, and so that the Clinician knows in advance which state's emergency services they would have to reach if something went wrong (see A.8).

At the start of each session, you will be asked to confirm your physical location, consistent with Ohio Admin. Code 4757-5-13(O). If you are outside both Ohio and Florida when a session is scheduled to begin — including while traveling — the session will not proceed as telehealth. Depending on timing and availability, it will need to be rescheduled for a time when you are back in Ohio or Florida or, if in-person services are available, converted to an in-person appointment at the Stow office.

If you relocate outside both Ohio and Florida on a long-term or permanent basis, the Clinician may be unable to continue providing you services and will provide referral information consistent with applicable continuity-of-care standards. Moving between Ohio and Florida does not by itself interrupt your care; tell the Practice, so that your record and your emergency information stay accurate.

If a Clinician's authorization to practice changes — for example, if they become licensed or otherwise authorized to practice in another state — this policy will be updated accordingly. Ask the Practice if your circumstances change.

Plain language: the rule that matters is the law of wherever you are sitting during the session. The Practice takes clients in Ohio and Florida, so your sessions need to happen while you are physically in one of those two states, and you need to say which one at the start. If you are somewhere else when your session is set to start — even briefly, even on a trip — it will not go ahead as telehealth that day.

Telehealth services must meet the same standard of care as in-person services. Ohio and Florida both say so: Ohio Rev. Code § 4743.09(B)(2)(a), and Fla. Stat. § 456.47(2)(a), which requires a telehealth provider to practice consistent with the prevailing professional standard of practice for a health care professional who provides the same services in person. Telehealth is a different way of delivering care, not a lesser one — but it carries its own risks and limitations, described in A.6 below.

To participate in a telehealth session, you will need:

• a reliable internet connection (broadband/Wi-Fi recommended over cellular data where possible);
• a device with a working camera and microphone (computer, tablet, or smartphone) capable of running TheraNest Telehealth, the platform the Practice uses for telehealth sessions;
• an up-to-date browser or app, as required by that platform;
• a private, quiet space where you will not be interrupted or overheard, for the full length of the session; and
• a charged device, or one connected to power, for the duration of the session.

Ohio law requires that usernames, passwords, and electronic communications used for telehealth be transmitted and stored securely (Ohio Rev. Code § 4743.09(C)(3)); the Practice selects its telehealth platform with that requirement in mind. Headphones are recommended for additional privacy, particularly if you cannot guarantee a fully private space.

Plain language: you need a stable connection, a working camera/mic, a private room, and a charged device. Bring headphones if you are worried about being overheard.

Telehealth may offer: improved access to care and continuity of care during travel, illness, or scheduling conflicts; reduced travel time and associated costs; and increased scheduling flexibility, consistent with the Practice's hours (Monday–Saturday, 9:00 a.m.–9:00 p.m.).

• Technology failure. Interruptions, poor connectivity, or technical malfunctions may disrupt or delay a session (see A.7).
• Confidentiality risk. No electronic transmission is completely free of the risk of interception or unauthorized access, notwithstanding the safeguards described in A.4. You are also responsible for the privacy of your own environment and device.
• Clinical limitations. The Clinician cannot observe the same nonverbal and environmental information available in person, which may affect clinical assessment. Telehealth may not be appropriate for every clinical presentation, including some crisis, safety, or acute-risk situations.
• Emergency-response limitations. The Clinician's ability to respond to an emergency during a telehealth session is more limited than in person (see A.8).

If video or audio is lost during a session:

1. 1Both you and the Clinician will attempt to reconnect through the same platform for a brief period.
2. 2If the connection cannot be restored, the Clinician will attempt to reach you by phone at the number on file, either to continue the session by phone or to reschedule if that is not possible.
3. 3If you cannot be reached and the Clinician has any concern about your immediate safety, the Clinician may contact your designated emergency contact or emergency services, consistent with A.8 below.
4. 4An interrupted session will be noted in your record. Any rescheduling or billing adjustment will be handled consistent with the Practice's fee schedule (https://queztherapy.com/fees) and the Terms of Use.

A connection failure is not a crisis-response plan. If you are experiencing a mental health emergency at any point during a disrupted session, do not wait for reconnection — call or text 988, text HOME to 741741, or call 911 immediately.

Plain language: if the call drops, we will try to reconnect, then call your phone. If we cannot reach you and there is a safety concern, we may contact your emergency contact or 911. If it is a real emergency, do not wait on us — call 988 or 911 yourself, right away.

Because the Clinician is not physically present with you during a telehealth session, before telehealth services begin — and periodically thereafter — you will be asked to provide: (a) the physical address where you will be located during each session, including the state; and (b) the name and contact information of an emergency contact who is local to that address, consistent with the crisis and after-hours access information required by Ohio Admin. Code 4757-5-13(M)(7). At the start of each session, you will be asked to confirm your current physical location and that your emergency contact is still current. This applies whether you are in Ohio or in Florida, and it applies to every session, not only the first (Ohio Admin. Code 4757-5-13(O); see A.2).

The reason is practical rather than bureaucratic. If the Clinician has to summon help, they have to send it to a real address, through the emergency system that has jurisdiction over that address — and they cannot see where you are. An address in the wrong state, or an emergency contact who has moved, is the difference between help arriving and help not arriving.

If you experience a mental health emergency — during a session, between sessions, or during a connection failure — stop and:

• Call or text 988 (Suicide & Crisis Lifeline, 24/7)
• Text HOME to 741741 (Crisis Text Line, 24/7)
• Call 911, or go to the nearest emergency room

These work in both states. 988 and 911 are nationwide numbers: dialing them in Ohio and dialing them in Florida both route you to the crisis and emergency responders for wherever you physically are. The "nearest emergency room" means the one nearest to you at that moment — the Stow-area hospital if you are in Ohio, the nearest Florida hospital if you are in Florida. If you are unsure which facility that is, ask the Practice to help you identify it in advance and write it into your record, rather than trying to work it out during a crisis.

If you communicate a threat to another person. If, based on your communications, the Clinician believes you present an explicit, credible, and imminent threat of serious physical harm to a clearly identifiable other person, Ohio Rev. Code § 2305.51 defines the actions available to them in response. The statute sets out several alternatives — which may include communicating the threat to a law enforcement agency with jurisdiction and, if feasible, to each potential victim; pursuing hospitalization; or establishing a documented treatment plan reasonably calculated to prevent the threat from being carried out, together with a concurrent second-opinion risk assessment. Ohio law requires the Clinician to consider each alternative and to document the reasons for choosing or rejecting each one (Ohio Rev. Code § 2305.51(C)(1)). Which action they take depends on the circumstances; this document does not promise any particular one.

If you are located in Florida when you communicate such a threat, Florida law addresses the same situation through Fla. Stat. § 491.0147, the confidentiality and privilege provision for the professions licensed under chapter 491. That section makes communications between a chapter 491 licensee and "her or his patient or client" confidential, and then identifies the narrow circumstances in which the privilege is waived — including where the clinician assesses that the client poses an imminent threat of serious bodily injury or death to an identifiable person, in which case the threat may be, and in the circumstances the statute describes must be, communicated to law enforcement and to the potential victim. The two states reach a similar place by different routes, and neither route depends on which state the Clinician is sitting in — both turn on where you are.

If the Clinician believes you are at risk of serious harm to yourself. This situation is governed by neither Ohio Rev. Code § 2305.51 nor the threat provisions of Fla. Stat. § 491.0147; both of those address threats to other people. If the Clinician believes you are at imminent risk of serious harm to yourself, they will act consistent with their clinical judgment and their professional and ethical obligations as a licensed behavioral health professional. Depending on the circumstances, that may include contacting your emergency contact or emergency services, or seeking emergency evaluation. In Ohio that evaluation would proceed under Ohio's emergency-hospitalization framework (Ohio Rev. Code § 5122.10); in Florida it would proceed under Florida's involuntary-examination framework, Fla. Stat. § 394.463, commonly called the Baker Act — in practice, by contacting law enforcement or a designated receiving facility in your area.

Further detail on confidentiality and its limits, including mandatory reporting, is provided in the HIPAA Notice of Privacy Practices.

Plain language: we will ask for your address, your state, and an emergency contact before starting telehealth, and confirm all of it at the start of every session, because your Clinician cannot see your surroundings the way they could in person. If there is ever a genuine safety concern, your Clinician can act on it — which could include contacting 911, your emergency contact, or law enforcement, wherever you are. Ohio and Florida each have specific rules about what a clinician may do when someone is threatened, and Ohio's requires the clinician to weigh the options and write down why they chose the one they chose.

Telehealth sessions are confidential to the same extent as in-person sessions, subject to the same limits described in the HIPAA Notice of Privacy Practices (including mandatory reporting and the duty-to-warn/protect limits described in A.8 above). Neither party may audio- or video-record a session without the other party's prior written consent, except as otherwise required by law.

If you are located in Florida, two Florida provisions apply to your record and to what you tell the Clinician, in addition to HIPAA. Fla. Stat. § 491.0147 makes any communication between a person licensed or certified under chapter 491 and "her or his patient or client" confidential, subject to the exceptions that section sets out. Fla. Stat. § 456.057 — "Ownership and control of patient records; report or copies of records to be furnished; disclosure of information" — governs who owns a patient record, requires copies of reports and records to be furnished to the patient or the patient's legal representative on request in a timely manner and without delays for legal review, and restricts disclosure of what a patient tells a health care practitioner in the course of care. These sit alongside, and do not displace, the Ohio confidentiality and record protections described in the Notice of Privacy Practices; where two rules both apply, the Practice follows the one more protective of you. Florida also requires the Clinician to document telehealth services in your record to the same standard used for in-person services (Fla. Stat. § 456.47(3)), which is how the Practice already keeps records.

Consistent with Ohio Admin. Code 4757-5-13(J), any therapeutically relevant email, text, or chat message becomes part of your clinical record. Because of this — and because the Practice does not publish or monitor a general email address (see the Terms of Use) — please raise clinically significant matters directly in session or by phone at 330-203-1559, not by message.

Telehealth sessions are billed on the same basis as in-person sessions — through your in-network insurance benefits where the Practice is in-network with your plan, or otherwise at the Practice's self-pay rates ($145 initial session; $135 ongoing sessions) — as published at https://queztherapy.com/fees. No separate facility fee is charged for telehealth (Ohio Rev. Code § 4743.09(E)(1)). You will be asked to consent to how telehealth sessions are billed before billing begins (Ohio Rev. Code § 4743.09(E)(3); Ohio Admin. Code 4757-5-13(M)(2)). Cancellation and no-show terms, and Good Faith Estimate information under the federal No Surprises Act, are set out in the Terms of Use and are not restated here.

You may request in-person services, if offered by the Practice, or a referral to another provider offering in-person care. You may discontinue telehealth and switch to another modality at any time, subject to availability, by notifying the Practice.

Before receiving telehealth services, you will be asked to review and acknowledge this Part A — typically through a signed or e-signed acknowledgment completed at intake through the client portal. By acknowledging this Part A, you confirm that you have read and understand it, that your questions have been answered, and that you voluntarily consent to receive services by telehealth on the terms described above. This consent is also the consent contemplated by Ohio Rev. Code § 4743.09(D), and you should understand what that provision does. Under it, when a patient has consented to receiving telehealth services, the health care professional is not liable in damages under any claim made on the basis that the services do not meet the same standard of care that would apply if the services were provided in person.

That protection is narrow and specific to the telehealth modality itself. It does not immunize the Clinician against negligence in how care is actually delivered, and it does not change their obligation to meet the standard of care that applies to telehealth services, which Ohio law requires to be equal to the in-person standard (Ohio Rev. Code § 4743.09(B)(2)(a); see A.3). In plain terms: consenting to telehealth means you accept the risks and limitations of the modality described in A.6 — it does not mean you accept careless care, and nothing in this document asks you to.

You may withdraw this consent at any time, effective for future sessions, by notifying the Practice.

Nothing in this Part A, and nothing you sign at intake, waives your right to complain about the Practice or the Clinician to a licensing authority. That right cannot be waived, and using it will not affect your care. Which authority you go to depends on where you were located when you received the services.

Ohio. Complaints about a licensed independent social worker practicing in Ohio go to the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, at https://cswmft.ohio.gov. The Board's online license verification site — https://elicense.ohio.gov/oh_homepage, linked in this Site's footer consistent with Ohio Admin. Code 4757-5-13(M)(5) — will confirm the Clinician's license status free of charge at any time.

Florida. Complaints about services delivered by telehealth to a client located in Florida go to the Florida Department of Health, Division of Medical Quality Assurance, Consumer Services Unit. The Department's complaint portal is at https://complaint-portal.mqa.flhealthsource.gov, and general information about complaints and enforcement is at https://www.floridahealth.gov/licensing-and-regulation/enforcement/index.html. Consumer Services can be reached at MQA.ConsumerServices@FLHealth.gov. Note two features of the Florida process: a complaint against a licensed practitioner cannot be filed by telephone, and Florida law requires that it be signed.

You may also complain to the Practice directly, at 330-203-1559 or through https://queztherapy.com/contact; and, on privacy matters, to the U.S. Department of Health and Human Services Office for Civil Rights, as described in the HIPAA Notice of Privacy Practices. You may use any of these routes, in any order, or more than one at once.

The Website AI Assistant is an automated chat feature on this website that answers general, non-clinical questions — such as office hours, general fee information, how to request an appointment, and general questions about the Practice's areas of focus — and helps route scheduling requests to the Practice's scheduling platform. It operates under the direction of Joselyn Vasquez, LISW-S, the Practice's owner and Clinical Director, who is responsible for what the Assistant is configured and permitted to do. Each Clinician remains fully responsible for the clinical care they provide.

The Website AI Assistant is not:

• any Clinician of the Practice, or any other licensed clinician — it will not identify itself using any title reserved for a licensed health care professional (e.g., "therapist," "counselor," "social worker," "psychologist," "psychiatrist," or "LISW-S");
• therapy, counseling, psychotherapy, diagnosis, treatment, or clinical or medical advice of any kind;
• a crisis service, an emergency service, or a substitute for calling or texting 988 or calling 911;
• confidential in the HIPAA sense — using it does not create a treatment relationship or a HIPAA-protected record, and it is not a HIPAA-secure communication channel;
• a place to put health information — do not type your symptoms, a diagnosis, medications, treatment history, or anything else about your health into it;
• monitored in real time by clinical or administrative staff;
• part of your clinical record, unless and until Practice staff manually and separately incorporate relevant scheduling information into that record after human review;
• designed or used to detect, infer, or analyze your emotions or mental state; or
• a decision-maker — it does not make independent clinical or treatment decisions.

These boundaries reflect the Practice's own policy and are consistent with the substance of AI-in-mental-health statutes enacted elsewhere in 2025–2026 — including Illinois (225 ILCS 155/20(b)(1),(4) (Illinois Public Act 104-0054)), Nevada (AB 406 (2025), Sec. 7(1)-(2), Sec. 8(1)), Utah (Utah Code § 13-72a-101(10)), and California (Cal. Bus. & Prof. Code § 22601(b)(2)(A)) — which the Practice follows nationwide, for every visitor, for the reasons explained in B.7 below.

Plain language: the chat widget is a bot, not a person and not your therapist. It can help with logistics — hours, fees, scheduling. Do not tell it anything clinical, sensitive, or urgent, and do not use it in a crisis.

Before you can use the Assistant's features, and at the start of any new conversation, the Site will clearly disclose that you are interacting with artificial intelligence technology, not a human being, and that the Assistant is limited to scheduling, fees, hours, and general practice information — not therapy, and not a confidential channel. If you ask the Assistant whether it is artificial intelligence, it will confirm that it is (Utah Code § 13-72a-203(1)-(2); Cal. Bus. & Prof. Code § 22602(a)).

A disclosure substantially in this form is shown before you can send your first message:

Do not use the Website AI Assistant to report a crisis, an emergency, suicidal or homicidal thoughts, abuse, or any situation requiring immediate attention. If a message you send indicates a possible crisis or safety concern, the Assistant is designed to stop, decline to engage further with that content, and immediately present the same fixed crisis resources every time — call or text 988, text HOME to 741741, or call 911 — rather than attempt to assess, respond to, or continue discussing it. See Part C for full detail; this design choice is explained further in B.7.

Nothing generated by the Website AI Assistant modifies, supplements, or overrides your treatment plan, the Clinician's advice, or the terms of Part A above. If the Assistant ever suggests that you schedule with the Practice, that suggestion is informational only (permissible consistent with Utah Code § 13-72a-202(3)) — it is not, and is never permitted to be, a clinical recommendation.

The Website AI Assistant is powered by artificial-intelligence technology operated by a third-party service provider under contract with the Practice, which processes the content of your conversation with the Assistant in order to generate responses. The Practice does not have a HIPAA Business Associate Agreement with this AI service provider. The Assistant is not configured, and must not be used, to receive, process, or store Protected Health Information or any clinical, diagnostic, symptom, or crisis-related information. Do not enter such information into the Assistant. Nothing you type into it becomes part of your clinical record unless and until Practice staff separately and manually incorporate relevant scheduling or logistical information into that record after human review. See the Privacy Policy for further detail on how Assistant conversations are handled, and why nothing you type is stored on the Practice's servers.

Illinois, Nevada, Utah, and California have each recently enacted statutes addressing the use of artificial intelligence in connection with mental health services, or AI chat features more generally. The provisions of those statutes that regulate licensed professionals are keyed to licensure in that state — they do not, on their face, reach an independent social worker who is not licensed in any of those four states. Several of them also exclude tools used only for customer service, scheduling, or administrative support, which is consistent with how the Website AI Assistant is built and used here.

Because this website is reachable from anywhere, and because the Practice believes clear disclosure is simply the right way to run an automated tool anywhere near sensitive subject matter, the Practice has voluntarily adopted — for every visitor, regardless of location — the practices described in this Part B, including:

• disclosing, before you can send a message and at the start of each new conversation, that you are talking to AI and not a person (Utah Code § 13-72a-203(1)-(2); Cal. Bus. & Prof. Code § 22602(a));
• designing the Assistant so that it does not attempt to detect, infer, or analyze your emotions or mental state (225 ILCS 155/20(b)(4));
• ensuring the Assistant never represents, and is never permitted to represent, that it is a licensed mental or behavioral health provider, or that interacting with it is equivalent to receiving care from one (Nevada AB 406 (2025), Sec. 7(1)(a)-(c));
• prohibiting the Assistant from identifying itself by the Clinician's name, by the title "LISW-S," or by any other term implying that it is a licensed health care professional — each such use would be treated as a separate violation under California law had this Practice been a California one (Cal. Bus. & Prof. Code § 4999.9(c)-(d)). The Assistant may of course tell you who the Practice's Clinicians are and suggest that you book a session; what it may never do is present itself as a Clinician, or as any licensed professional (see B.2); and
• publishing the fixed crisis-response design described in Part C, in the form California law requires for a "companion chatbot" (Cal. Bus. & Prof. Code § 22602(b)), regardless of whether the Website AI Assistant meets that statute's definition.

This voluntary approach means you receive the same protections described in this Part B no matter where you are when you visit this website. Whether Ohio or Florida has enacted, or will enact, a statute comparable to those above has not been independently confirmed as of the Effective Date above; the Practice's policy in this Part B does not depend on the answer.

This website and the Website AI Assistant are not directed to children under 13, consistent with the Privacy Policy. If you are a parent or guardian using the Assistant on behalf of a minor, the same limits apply: scheduling and general information only, never clinical detail.

The Website AI Assistant cannot guarantee real-time or same-day response. For anything time-sensitive, clinically significant, or requiring a person, contact the Practice directly:

• Phone: 330-203-1559, during office hours (Monday–Saturday, 9:00 a.m.–9:00 p.m.)
• Website contact form: https://queztherapy.com/contact (expect a delay; not for urgent matters)
• Established clients: use the client portal

If the matter is urgent and you cannot reach the Practice, use the crisis resources in Part C rather than waiting on the Assistant or the contact form.

This website — including its general content, scheduling functionality, and the Website AI Assistant — is not an emergency service, is not staffed or monitored in real time, and cannot respond to a crisis.

If you are in crisis, please reach out right now.

• Call or text 988 — the 988 Suicide & Crisis Lifeline. Free, confidential, 24/7.
• Text HOME to 741741 — Crisis Text Line. Free, 24/7.
• Call 911 if you or someone else is in danger or needs immediate medical attention.

You can also chat with the 988 Lifeline at chat.988lifeline.org.

Quez Therapeutic Solutions, LLC is not a crisis service. Our office is open Monday through Saturday, 9:00 a.m.–9:00 p.m., and we cannot respond to emergencies. If this is an emergency, use one of the resources above. When you are safe, we are here for what comes next — call 330-203-1559 or use the contact form.

If a message you send to the Website AI Assistant indicates a possible crisis, suicidal or homicidal thoughts, self-harm, or another safety concern, the Assistant is instructed to stop, decline to engage with or elaborate on that content, and immediately present the crisis resources above — the same way, every time. The Assistant is not built or permitted to detect, evaluate, or respond to a mental health crisis (see B.2, B.4, B.7); a fixed, unchanging crisis message is safer than an improvised one.

Contact the Practice directly at 330-203-1559 during office hours (Monday–Saturday, 9:00 a.m.–9:00 p.m.), or through the client portal. If you cannot reach the Practice and the matter feels urgent, use the crisis resources above rather than the Website AI Assistant or the website contact form — neither is monitored in real time or appropriate for an urgent or emergency matter.

Neither this website nor its Website AI Assistant is an emergency or crisis service, a therapist, or a substitute for professional care. If you are experiencing a mental health emergency, stop using this website and call or text 988, text HOME to 741741, or call 911 immediately.