Welcome to Keel Mind! We provide a platform-as-a-service solution that allows third-party services providers to provide higher quality online services.

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To access or use our Services, you must agree to be bound by our Terms of Use located here: Terms of Use along with the following Informed Consent.

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This Informed Consent for telehealth & wellness contains important information.

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Please read it carefully with your acceptance and use of the service, it will represent an agreement between you and your Third Party Service Provider.

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General Information:

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Benefits/Risks of Telehealth and wellness

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• Telehealth and wellness refers to providing health and wellness services remotely via video or telephone, typically for the benefits of continuity of care and convenience. Telehealth and wellness, however, requires technical competence. Here are some risks and differences between in-person health and wellness consultations and telehealth and wellness:

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Risks to confidentiality.

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• Because telehealth and wellness sessions take place outside of the Third Party Service Provider's private office, there is potential for other people to overhear sessions. Keel Mind® on behalf of your Third Party Service Provider will take reasonable steps to ensure your privacy as it relates to our service. You should do the same, making sure to be in an area where other people cannot overhear the session.

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Issues related to technology.

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• There are many ways that disruptions can arise with technology, such as it stopping working during a session or other people potentially getting access to our conversation.

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Crisis management/intervention.

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• Telehealth and wellness is not typically used for times of crisis and can be harder to manage than in-person.

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Efficacy.

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• Most research shows that telehealth and wellness services can be as effective as in-person health and wellness services, but you should know that there is debate about whether or not something is lost by not being in the same room, such as a Third Party Service Provider's ability to fully read non-verbal information.

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Location During Sessions

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• All clients must be in an appropriate and private setting for telehealth and wellness sessions. By signing this, you agree that no sessions will be conducted while you are out-of-state or province from where your provider resides. This restriction is due to licensure restrictions unless otherwise stipulated.

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Electronic Communications

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• Telehealth and wellness sessions allow your Third Party Service Provider to diagnose, consult, treat and educate using interactive audio, video or data communication regarding your treatment. I hereby consent to participating in telehealth and wellness sessions via telephone or the internet. I am also aware that sessions may be recorded for training purposes or to facilitate collaborative care and give your consent. A supervisor, from time to time, of equal or greater competence may join sessions from behind a “digital one-way mirror” to ensure high-level, responsible care. I understand that a Third Party Service Provider can include a supervisor as well.

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Communication between Sessions

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• As with in-person sessions, treatment is most effective when clinical discussions occur at your regularly scheduled sessions. We completely realize and empathize that a crisis may arise, and if so, please contact your family physician or the nearest emergency room.

• You can also contact the 24-hour National Suicide Prevention Lifeline at: 1-800-273-TALK (8255), or the 24-hour Crisis Text Line can be contacted by texting “CONNECT” to 741741 in the United States. If in Canada, The new Canada Suicide Prevention Service (CSPS), by Crisis Services Canada, enables callers anywhere in Canada to access crisis support by phone, in French or English: toll-free 1-833-456-4566 Available 24/7. Crisis Text

• Line (Powered by Kids Help Phone) Canada Wide free, 24/7 texting service is accessible immediately to youth anywhere in Canada by texting TALK to 686868 to reach an English speaking Crisis Responder and/or text CONNECT to 686868 to reach a French-speaking Crisis Responder on any text/SMS enabled cell phone.

• KidsHelpPhone Ages 20 Years and Under in Canada 1-800-668-6868 (Online or on the Phone)

• First Nations and Inuit Hope for Wellness 24/7 Help Line 1-855-242-3310

• Canadian Indian Residential Schools Crisis Line 1-866-925-4419

• Trans LifeLine – All Ages 1-877-330-6366

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Confidentiality

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• You are aware that your Third Party Service Provider and their provider Keel Mind® have taken precautions to avoid loss of confidentiality during electronic transmission of confidential information. The extent of confidentiality and its exceptions, as outlined in any Informed Consent document that you have been given by your Third Party Service Provider(s) still apply. However, the nature of electronic communications technologies is such that Keel Mind® must warn you that although we have taken the necessary precautions and steps to protect your data, we cannot guarantee that all communications will be kept confidential or that other people may not gain access to your communications. You should also take reasonable steps to ensure the security of your communications (for example, only using secure networks for telehealth and wellness sessions and having passwords to protect the device you use for your sessions).

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Data Ownership Within the Keel Mind® Solution

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• The Keel Mind platform is a PaaS (platform as a service) solution where Keel Mind operates the platform as a Service for the Third Party Service Provider who is a Keel Mind customer. With this in mind, all customer data is owned by the Third Party Service Provider. Keel Mind is a data custodian of this customer data, and we protect this data on behalf of our Third Party Service Provider.

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Your Rights

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• You have a right to confidentiality with telehealth and wellness sessions under the same laws that protect the confidentiality of your medical information for in-person sessions. Any information disclosed by you during the course of your service, therefore, is generally confidential. There are, by law, exceptions to confidentiality, including mandatory reporting of child, elder, and dependent adult abuse and any threats of violence you may make towards a reasonably identifiable person. You also understand that if you are in such a mental or emotional condition to be a danger to yourself or others, your Third Party Service Provider(s) has the right to break confidentiality to prevent the threatened danger. Further, you understand that the dissemination of any personally identifiable images or information from the telehealth and wellness interaction to any other entities other than your Third Party Service Provider(s) shall not occur without your written consent.

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Technology Disruptions

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• If you are having an emergency and there is a technical problem, call 911, the 24-hour National Suicide Prevention Lifeline (1-800-273-TALK/8255), or go to your nearest emergency room. In Canada, contact 1-833-456-4566 or text TALK to 686868. If the session is interrupted under non-emergency circumstances, your provider will attempt to recontact you via the platform where we were disrupted. If you do not receive a call back within a couple of minutes, then reach out to your provider through the platform or contact support@geta-head.com.

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Records

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• You hereby consent that you understand your Third Party Service Provider(s) will maintain a medical record of your session and any derivative data, analytics or summaries in the same way they maintain records of in-person sessions. This includes demographic information, specific interactions, and progress notes. You hereby consent that although sessions may be recorded from time-to-time, that because it will be strictly used for health and wellness/clinical training, and is not a part of your medical records and that you give up right to access that recording as it can pose a potential threat to you and your Third Party Service Provider(s) if made public. You understand these recordings are securely kept in a HIPAA/PIPEDA/PHIPA compliant environment depending on your location and are disposed of in a reasonable period of time as determined by your Third Party Service Provider.

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Informed Consent

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• This agreement is intended as a supplement to the general informed consent used at the outset of service and does not amend any of the terms of a previous agreement or agreement with your Third Party Service Provider. You understand that you can withdraw your consent to telehealth and wellness communications by providing written notification to your Third Party Service Provider. Clicking the box below indicates that you have read this Agreement and agree to its terms.