The novel coronavirus, also known as COVID-19, has been declared a worldwide pandemic by the World Health Organization which may result in personal injury, illness, permanent disability, and in some case, death. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state and local governments and federal and state health agencies have recommended social distancing and have in many locations prohibited congregation of groups of people.

Despite the ongoing COVID-19 crisis, and in an effort to provide clients with valuable psychotherapy services in a safe manner, Guttman and Pearl Associates has put in place certain preventative measures to reduce the spread and risk of contracting COVID-19 during our provision of services. Guttman and Pearl Associates has given you the option to use Telehealth sessions and you have chosen to proceed with in person sessions, with the understanding of the risks noted herein. While Guttman and Pearl Associates is taking every effort to protect your health, we cannot by any means guarantee that you will not become infected with COVID-19. The only way to prevent the chance of becoming infected with COVID-19 is to not do in person sessions.

Notwithstanding the foregoing, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk of becoming exposed, and/or contracting COVID-19 in connections with Guttman and Pearl associate’s provision of services and/or the actions, omissions, or negligence of Guttman and Pearl Associates. In consideration of Guttman and Pearl Associates provision of services, you hereby agree to: (a) waive any claims you or anyone on your behalf may have against Guttman and Pearl Associates, its managers, or therapists and (b) indemnify, defend and hold harmless the Guttman and Pearl Parties; in each case, to the extent the same is based upon a claim arising from the subject matter contained herein or otherwise related to Guttman and Pearl Associates’ provision of Services.

MM slash DD slash YYYY