Camera Policy 2021 | Behavioral Therapy

Camera Policy

Policy on Use of Cameras at TCBT

In an effort to provide better quality Applied Behavior Analysis (ABA) services, Tri-Cities Behavioral Therapy (TCBT) will begin using closed circuit cameras in the therapy rooms in our clinical office setting. There are two main purposes for these cameras:

1. To allow LBAs/BCBAs video access to observe therapy sessions when RBTs are working with our clients, thus not changing the child’s behavior by having a supervisor in the room

2. To allow families a chance to view the therapy sessions upon request, so that they may learn techniques and see the work their children do while they are in therapy

IMPORTANT: There will be NO RECORDING OR STILL PHOTOS taken during the sessions, this is only a means to view a therapy session outside the individual therapy room.

Please check the correct box below giving or denying permission for your child to have their session conducted in a room with a camera.

Childs First Name

Parent/Caregiver First Name

I GIVE my permission for my child to have their therapy sessions in a room with an installed closed circuit camera.

Childs Last Name

Last Name

I DO NOT GIVE permission for my child to have their therapy session in a room with an installed closed circuit camera.

Parent or Guardian Signature

I certify that I have answered all the information on the Client Information Form to the best of my knowledge and the information is current and correct. (Print or type signature)

If you would rather print this form and return to us in person or by mail, click on the button below labeled "Printable Forms".

Our address is. Tri-Cities Behavioral Therapy 321 West Walnut Street Box #2 Johnson City, Tennessee 37604

Printable Forms

Click (Submit) to finish the form. If you can not continue make sure all required fields with an ( * ) have been filled out. Any missed fields will be highlighted in red to make it easier in finding them.

Cancell and return to Intake Forms