1. I hereby authorize Isis A. Rose, Birth and Postpartum Services to use various online platforms and applications including but not limited to Zoom, HelloSign, Jotform, Google Hangouts, and Marco Polo to provide virtual doula support services.
2. I understand that technical difficulties may occur before or during our telehealth sessions and which may affect appointment start time and end time.
3. I accept that regular sessions will be conducted via video call; however, I am informed that these sessions can be conducted via regular voice communication if the technical requirements (such as access to a computer, internet, etc.) cannot be met.
4. I agree that any personal or medical information collected will be kept private and that de-identified information my be used anonymously for data collection purposes toward doula certification.
5. I understand that Isis A. Rose, Birth and Postpartum Services will ensure privacy and security to the best of their ability but is otherwise not responsible for the occurence of breeches in security or privacy during video and/or telephone support calls.
6. I understand that Isis A. Rose, Birth and Postpartum Services is not responsible for distress caused by unforeseeable breeches in security or privacy during video or telephone support calls.
7. I accept that significant interruption during sessions (more than 15 minutes) due to technology failure may result in rescheduling, postponing, and/or additional prenatal or postpartum support sessions.