Telepractice consent form , notebook, mobile phone) and a stable internet connection as well as the ability to use digital applications. Securely download your document with other editable templates, any time, with PDFfiller. In addition, I agree to the instructions outlined. Explicit consent stands as the most direct form, requiring a clear, unambiguous verbal or written statement of agreement. I have reviewed the Telepractice Consent Form linked above, understand the policies described in, and agree to abide by them. General practice forms that are not specific to telepractice will not protect you here! The Telepractice Consent Form must be filled out by your clients before you begin providing them with telepractice services. It contains important information about participating in Telemedicine/Telepractice which involves doing psychotherapy remotely using the telephone or internet. 25-3 replaces Supp. General practice forms that are not specific to telepractice will not protect you here! This resource provides some guidance for speech-language pathologists (SLPs) conducting assessments of speech, language, and cognitive communication via telepractice. By reviewing and agreeing to the information presented below, you will be informed about my counselling process, personal information handling, client record management, electronic communication policy, financial agreement, and the risks-benefits of online The release of this Chapter in Supp. The ASHA Code of Ethics (Code) says practitioners “shall obtain informed consent from the persons they serve about the Mar 16, 2023 · Obtain your verbal or written consent to use of telehealth when providing you services. All patients and prospective patients must have at least one in-person evaluation session with clinical staff prior to participation in telepractice. 20-4, 1-27 pages. We offer multiple options for initial evaluations. The telepractice information in this document is intended to support clinicians in making informed, well-reasoned decisions around remote assessment. Telepractice is used by many professionals in a growing number of areas including, but not limited to, health care (telehealth). ; Ensuring that the therapeutic means of communication includes confidentiality and computer/cyber security; The Telepractice Consent Form must be filled out by your clients before you begin providing them with telepractice services. Do whatever you want with a Sample Consent for Services Provided Via Telepractice Form: fill, sign, print and send online instantly. " This service delivery NeurogeniCSS Telepractice Consent Form Telepractice is the delivery of therapy services using distance technology, typically computers, when the clinician and patient are not in the same physical location. Please read this consent and the attached guidelines for telepractice appointments and sign below where indicated, Return the signed copy via email or IU Speech and Hearing Clinic 200 S. Purpose of treatment; b. , Bloomington, IN 47405. PURPOSE: The purpose of this form is to obtain your consent to participate in a TelePractice Session in connection with the following procedures/purposes: Speech Therapy I have the right to withhold or withdraw consent to participate in telepractice at any time without it affecting my right to future care or treatment but that the care or treatment may not be available through Vulcan Speech Group. a sido maravillosa, muy profisional, dedicacior y respeto. By my signature below, I hereby state that I have read, understood, and agree to the terms of this document. TRS-66 Patient's consent to receive substance use disorder services via telepractice. Consent for Telepractice Telepractice is the delivery of speech language pathology and audiology professional services using interactive technologies (use of audio, video or other electronic communications) between a practitioner and a client/patient who are not in the same physical location. At Stepping Stones E-Counselling, I believe it is important to have your informed consent before beginning therapy and/or counselling. General procedures to be used in treatment, includ- ing benefits, limitations, and potential risks; c. Jordan Ave. General practice forms that are not specific to telepractice will not protect you here! A consent form for the use of Telepractice can be returned by email if the parent/guardian also signs and returns the Parental Consent to Use Email/Remote Conferencing to Exchange Personally Identifiable Information. If found suitable for telepractice, the patient or prospective patient must execute a statement of informed consent prior to receiving services via telepractice. While written consent (TRS-66) is preferable, oral consent is permissible when it is the only available option or circumstances require immediate service delivery which do not allow time for written consent. Similarly, you might want informed consent for telepractice to include one-on-one appointments as well as group sessions. INFORMED CONSENT for COUNSELING SERVICES DELIVERED VIA TECHNOLOGY Please read this form in its entirety to ensure that you understand the differences between traditional face-to-face counseling and counseling that is delivered via chat, online video, email, or telephone. PURPOSE: The purpose of this form is to obtain your consent to participate in a TelePractice Session in connection with the following procedures/purposes: Speech Therapy The purpose of this form is to provide information to you about, and to obtain your consent to participate in, telepractice consultation/s with your early childhood intervention practitioners. Although many of these considerations may apply at any time, some are unique to the COVID-19 pandemic. Home Telepractice Informed Consent Progressive Therapy Associates Telepractice Informed Consent Telehealth: Evidence-based templates for intake, informed consent, release of info, referral, crisis assessment, & termation. To download the form, please click below: Telepractice consent form Online Fillable Consent Form Patient Testimonial "Mi experiencia en la terapia en Kinesioworks Physical Therapy P. Telemental Health Informed Consent It is important to obtain informed consent for telemental health to address many issues, including but not limited to the risks associated with telemental health, exceptions to confidentiality, what to do if there are technical difficulties, interruption of service, and what to do in case of an emergency. Telepractice Policies and Informed Consent The American Speech-Language-Hearing Association (ASHA) defines telepractice as "the application of telecommunications technology to delivery of speech language pathology and audiology professional services at a distance by linking clinician to client, or clinician to clinician, for assessment, intervention, and/or consultation. General practice forms that are not specific to telepractice will not protect you here! To download the form, please click below: Telepractice consent form Online Fillable Consent Form Patient Testimonial "Mi experiencia en la terapia en Kinesioworks Physical Therapy P. " This service delivery model Telepractice Consent Form Telepractice is the delivery of therapy services using distance technology, typically computers, when the clinician and patient/client are not in the same physical location. The practitioner typically uses videoconferencing to administer client sessions in real-time but may The Telepractice Consent Form must be filled out by your clients before you begin providing them with telepractice services. Each organization’s legal team should review and approve the final document to ensure state and organizational-specific language are included. Telepractice as a preschool related service / SEIS delivery method is only available during the declared state of emergency for COVID-19. 2 I Introduction Telehealth (formerly referred to as telepractice) as defined in 14 NYCRR Part 830 is the delivery of addiction treatment services via audio and video telecommunication, audio-only or video-only telecommunication. This may assist in the evaluation, diagnosis, management and treatment of a number of health care problems. Get, Create, Make and Sign telepractice consent formdocx Edit your telepractice consent formdocx form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. I understand the risks and consent to the conditions outlined herein. OASAS programs must apply in accordance with these Telehealth Standards for I have reviewed the Telepractice Consent Form linked above, understand the policies described in, and agree to abide by them. Sep 21, 2023 · Discover the essential informed consents and disclosures required for mental health care providers to ensure compliance and foster trust with clients. Teletherapy may be ASHA Telepractice Checklist for School-Based Professionals This checklist is designed to assist educational audiologists and school-based speech-language pathologists as they navigate service delivery via telepractice. , 24/7 access. Aug 18, 2023 · How to request informed consent from patients for telehealth or telemedicine appointments. Telehealth as an early intervention service delivery method is only available during the declared state of emergency for COVID-19. Informed consent means that the parents or guardians understand the risks and benefits of telepractice services before agreeing to allow their child to receive services. Consent: I voluntarily consent to telepractice services through Communication Works, LLC, which may include routine assessment and/or treatment by a licensed, certified speech-language pathologist and/or occupational therapist. I consent to receive TELEPRACTICE services through Waring Wellness / Kristina Waring, MA CCC-SLP, which may include routine assessment I have the right to withhold or withdraw my consent to the use of telepractice. Work with you to ensure that they have contact information of relevant resources, including emergency services, in your geographic area. Services may be provided by OASAS certified, approved or otherwise authorized programs. Updated on October 18, 2022. Click on the relevant forms down below to download them. Kim will send out a draft letter for everyone to review that could be used with our clients. Upload a PDF or design from scratch flyers, magazines, books and more. Are you doing telepractice without a Telepractice Consent Form? Want one? There is one included) Again, if you want to hire your own lawyer for 1-2 forms, you absolutely can. Tele-mental Health Informed Consent Due to the COVID-19 pandemic and public health emergency declared in the state of Alabama, in-person visits at the UAB Employee Assistance & Counseling Center (EACC) have been disrupted. Provide treatment to a client only in the context of a pro- fessional relationship based on informed consent for treatment; 2. Nov 17, 2016 · A licensee shall: 1. A Telepractice Consent (PDF) Email Consent (PDF) Communication Permissions (PDF) – please sign AUDIOLOGY FORMS PATIENTS TO BE SEEN FOR EVALUATION OF HEARING OR AUDITORY PROCESSING SHOULD COMPLETE THE FOLLOWING: Adult Audiology Case History (PDF) Child Audiology Case History (PDF) – Birth to 17 years This agreement is intended as a supplement to the general informed consent that we agreed to at the outset of our clinical work together and does not amend any of the terms of that agreement. Services provided by Waring Wellness / Kristina Waring, MA CCC-SLP, which include routine assessments and/or treatments provided by a licensed, certified speech-language pathologist. Telehealth includes the practice of psychological health care delivery, diagnosis, consultation, treatment, referral to resources, education, and the To download the form, please click below: Telepractice consent form Online Fillable Consent Form Patient Testimonial "Mi experiencia en la terapia en Kinesioworks Physical Therapy P. Just know that the average fee for lawyers is $250/hour. Consent for TelePractice Services Consent for Telepractice: I understand this document is to acknowledge consent for my minor or adult dependent to receive TELEPRACTICE services through Waring Wellness / Kristina Waring, MA CCC-SLP, which may include routine assessment and/or treatment by a licensed, certified speech-language pathologist. docx: fill, sign, print and send online instantly. This information is not intended to be comprehensive regarding all considerations for assessment via telepractice. 92507 ($166. Consent and Authorization For Telepractice Clinical Services Description of Services: As part of training future professionals in the field of speech-language pathology, graduate students during their clinical practica will be conducting evaluation and therapy sessions under the supervision of American Speech-Language Hearing Association (ASHA) certified and CA state licensed speech-language The purpose of this form is to provide information to you about, and to obtain your consent to participate in, a telepractice consultation with your speech pathologist. ASHA has a resource page dedicated to Telepractice, which includes helpful information on getting started. Telepractice Consent Form Telepractice is the delivery of therapy services using distance technology, typically computers, when the clinician and patient/client are not in the same physical location. I have the right to inspect any information obtained and/or recorded through telepractice. Get, Create, Make and Sign telepractice informed consent form Edit your telepractice informed consent form form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. General practice forms that are not specific to telepractice will not protect you here! 16 likes, 7 comments - independentclinician on August 25, 2024: " No 5-year waitlist on this deal! So grab this and not that Birkin. In order to engage in telepractice in an effective, safe and legal manner, licensed mental health professionals should: Develop procedures for and obtain informed consent prior to providing remote services. The client’s right BACKGROUND The issue of consent has been at the forefront of the telemedicine industry since its inception. Inform you of the potential risks and limitations of receiving treatment via telehealth. Telepractice should be delivered using telecommunication technology that is compliant with confidentiality standards of state and federal law. With the growing popularity of virtual therapy, the Telepractice Consent Form is now essential for therapists offering remote services. I have the right to withhold or withdraw consent at any time without affecting my right to future care or treatment. engage in telepractice treatment services. Speech therapists - do you have a standard telepractice consent form that you use? Im interested to see the format please! #howto #speech #forms #telepractice Strengthens language around consent and recipient preference Expands the definition of telehealth practitioner Removes PROS and ACT specific language Allows the ability for all telehealth practitioners to deliver services from outside NYS Removes the requirement of an in-person initial assessment Allows the use of telehealth for Article 9 INFORMED CONSENT FOR TELETHERAPY This Informed Consent for Teletherapy contains important information focusing on doing psychotherapy using the phone or the Internet. In order to ensure continuity of care, consistent with public health guidelines issued by the Alabama Department of Public Health and Centers for Disease Control and The purpose of this form is to obtain your consent to participate in a telehealth consultation in connection with the following procedure (s) and/or services:* Occupational Therapy Physical Therapy Speech-Language Pathology Dec 9, 2022 · View our Informed Consent for Psychotherapy and Telehealth Psychotherapy: Counseling in Michigan. 00 for up to 60 minutes) + entry fee (purchased separately) Dome Day - Therapeutic dynamic activities to improve functional performance. I consent to the UNC Greensboro Speech and Hearing Center delivering telepractice services for me, my child, or any other person for whom I am a legal guardian or authorized signer. The purpose of this form is to provide information to you about, and to obtain your consent to participate in, a telepractice consultation with your speech pathologist. In addition, your provider may require that you create a safe environment at your location during the Informed Consent for Group Therapy by Telehealth Telehealth is a delivery of health services using interactive technologies (e. Do whatever you want with a Telepractice Informed Consent Form. I hereby give my informed consent to participate in the use of online therapy services for treatment under the terms described herein. Effective & Legal Telepractice Telepractice should be considered a modality and applied only as appropriate to address the client’s needs. , the act of providing Telehealth services) as "the application of telecommunications technology to delivery of professional services at a distance by linking clinician to client, or clinician to clinician, for assessment, intervention, and/or consultation. Telepractice Consent Form Click below to better understand this policy Informed Consent for Telepractice Zoom (pdf) Download By signing this document, I acknowledge that I have read and fully understand the information Musser Voice/Musser Therapies, LLC has provided me regarding the risks of telepractice. Clinicians should remain Having a good level of basic knowledge when setting up telepractice sessions helps improve the experience for all involved. A Jun 15, 2025 · Discover the importance of informed consent in telepractice for speech-language pathology and learn how to implement it effectively. These technologies may include, but are not limited to video, phone, and email. You won’t have any trouble finding state-specific consent for form use and other forms in the library. Client Informed Consent for Teletherapy Services hereby consent to engage in teletherapy services with Richard E Madden, PhD, LCSW. May 13, 2020 · You might want informed consent covering both telepractice and in-person service delivery so your intervention plan remains flexible and allows for both types of services. Find the template you need and customize it using advanced editing functionalities. Informed consent for Telepractice continues to be required. Each form is easily editable, so you can add your business information, as well as customize it to your liking! This pack includes: → SuperBill template → Payment Policy form → Adult Intake form → Child Intake form → SOAP Note Template → Consent for The telepractice informed consent form must include the patient's personal information, the healthcare provider's contact information, a description of the telepractice services being provided, and the risks and benefits of telepractice. Informed consent: SLPs must obtain informed consent from parents or guardians before providing telepractice services to students. Any personal information I choose to share will be held in the strictest confidence. The content of the document, Informed Consent for Speech-Language Pathology Services via Telepractice, was developed by the Telepractice Committee in 2018 for the purpose of providing a guidance tool for practitioners. C. “Telepractice” means providing behavioral health services through interactive audio, video or electronic communication that occurs between the behavioral health professional and the client, including any electronic communication for evaluation, diagnosis and treatment, including distance counseling What is the purpose of this form? The purpose of this form is to provide information to you about, and to obtain your consent to participate in, a telepractice consultation with your practitioner. If I do not agree to participate in receiving health services via telepractice under the terms described above, the applicable box(es) will be unchecked on the Intake/Annual Consent Packet Acknowledgement Form. Get, Create, Make and Sign telepractice services consent and Edit your telepractice services consent and form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. When you sign this document, it will represent an agreement between us. understand that teletherapy includes consultation, treatment, transfer of personal and health information, emails, telephone conversations and education using interactive audio, video and data communications. Informed Consent for Telehealth Consultations To better serve the needs of people in the community, health care services are now available by interactive video communications and/or by the electronic transmission of information. , phone or video sessions) between a practitioner and a client who are not in the same physical location. I consent to receive In-Person SLP services: (1) onsite and/or; (2) off-site. Document in writing for each client the following ele- ments of informed consent for treatment: a. Telepractice would be hard to do across the clinic due to limited technology access of our clients. This form outlines the specific details of teletherapy, including the technology used, confidentiality risks, and the client’s responsibilities for maintaining privacy. Each section includes step by step considerations from preparation to implementation: Consent: I understand this document is to acknowledge consent to receiving TELEPRACTICE services through Waring Wellness / Kristina Waring, MA CCC-SLP, which includes routine assessment and/or treatment by a licensed, certified speech-language pathologist. Telepractice is subject to the confidentiality requirements of 42 CFR Section and HIPAA for the protection of individual’s privacy and confidentiality while providing services via Telepractice. General practice forms that are not specific to telepractice will not protect you here! Implementing consent form(s) and proper disclosure(s) including, but not limited to the client’s knowledge regarding security issues, confidentiality, structure, etc. 50) 1 unit up to 60 minutes (on-site in-person, clinic visit; telepractice visit) Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual 97530 ($177. Please read this carefully, and let me know if you have any questions. A Aug 17, 2020 · Should I update the informed consent form before I begin providing in-person services? Given the risks patients assume when they elect to receive—or avoid—in-office treatment during the COVID-19 pandemic, this maybe an opportunity to revise your informed consent form. A consent form for the use of Telepractice can be returned by email if the parent/guardian also signs and returns the Suffolk County Parental Approval to Use E-mail to Exchange Personally Identifiable Information. The Telepractice Consent Form must be filled out by your clients before you begin providing them with telepractice services. Have you ever wondered what informed consent means in telepractice therapy and why it is so important? In this informative video, we'll explain everything you need to know about informed consent Please see the “Telepractice Consent to Treat Form” for further details if you have arranged to receive clinic services in the telepractice (online) modality. OTN merely acts as a Health Information Network Provider (HINP), Agent, eService Provider or Procurement Agent in the facilitation of The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. I have read and understood the above. Multiple languages available. These Private Practice Clinic Forms provide you with all the paperwork you need to take on clients and protect your private practice. g. Telehealth (formerly referred to as telepractice) as defined in 14 NYCRR Part 830 is the delivery of addiction treatment services via audio and video telecommunication, audio-only or video-only telecommunication. TELEPRACTICE INFORMED CONSENT FORM The American Speech and Hearing Association (ASHA) defines telepractice ( the act of providing Telehealth services) as "the application of telecommunications technology to delivery of professional services at a distance by linking clinician to client, or clinician to clinician, for assessment, intervention, and/or consultation. You must identify on your informed consent form a person who can be contacted in the event that your provider believes your safety is at risk. What is Telepractice? Telepractice is the use of telecommunication to provide services to clients. OASAS Telepractice Guidance OASAS Telepractice Guidance supersedes any other State or federal-issued telehealth guidance. Telepractice is defined as the provision of professional service over geographical distances by means of modern telecommunications technology. Please fill the forms and have them ready for the evaluation. This process is referred to as “telemedicine” or Cheat Sheet Provide treatment to a client only in the context of a professional relationship based on informed consent for treatment. The informed consent form should include the following information: A description of the specific teletherapy services that will be provided The risks and benefits of telepractice The student's right If I have any questions regarding this consent form or about the services offered at Employee & Family Resources, I may discuss them with my therapist. General practice forms that are not specific to telepractice will not protect you here! This document is a supplemental Informed Consent Form to the “Informed Consent for Treatment” form. Potential Benefits: Instructions: This consent form for the use of Telepractice as a service delivery method for the provision of CPSE services must be completed for each service type authorized for the above referenced student before telepractice services can be initiated. The purpose of this form is to obtain your consent to participate in a telehealth consultation in connection with the following procedure (s) and/or services:* Occupational Therapy Physical Therapy Speech-Language Pathology If proposed services will meet the definition of Telepractice, consent is required prior to the initiation of the services. You're getting Legal Definition of Telehealth Telehealth involves the use of electronic communications to enable Comprehensive Counseling Services (CCS) mental health professionals to connect with individuals using secure interactive video and audio communications. " Jan 14, 2020 · Of utmost importance in the utilization of telepractice is that individuals of diverse cultures, ethnicities, and language preferences understand the meaning and content of the informed consent form. Middle Georgia State University Counseling Services TeleHealth Informed Consent Form hereby consent to engaging in telehealth with a Licensed Professional Counselor at MGA Counseling & Accessibility Services. Get, Create, Make and Sign telepractice consent addendum Edit your telepractice consent addendum form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. Telepractice is further defined by OAR 335-005-0016 (Professional and ethical standards for Telepractice). Open it immediately and begin modifying it with powerful editing options. Informed consent, in some form, is considered as a requirement for telemedicine, and is regarded as a separate process from consent for treatment. The American Speech and Hearing Association (ASHA) defines telepractice (theact of providingTelehealth services) as "the application of telecommunications technology to delivery of professionalservices at a distance by linking clinician to client, or clinician to clinician, for assessment, intervention,and/or consultation. Dec 15, 2023 · Video-based telepractice is a digital form of therapy in which patients can digitally participate in health care (Neuhaus, 2022). Instructions: This consent form for the use of Telepractice as a service delivery method for the provision of CPSE services must be completed for each service type authorized for the above referenced student before telepractice services can be initiated. Digital participation is defined in terms of having access to technical equipment (e. If proposed services will meet the definition of Telepractice, consent is required prior to the initiation of the services. Securing Informed Consent Prior to initiating any tele-therapy services, school psychologists must obtain informed consent from parents or guardians before providing services to students. Informed Consent - Telepractice The American Speech and Hearing Association (ASHA) defines telepractice (i. It should not be interpreted as a requirement or recommendation to conduct assessment via telepractice. General practice forms that are not specific to telepractice will not protect you here! Sep 18, 2024 · Most states require you to obtain your patient’s official informed consent before you can provide treatment using telehealth. . Parent/Caregiver Consent to the Use of Teleintervention Services have read and understand the information provided above regarding teleintervention, have discussed this with my provider and all my questions have been answered to my satisfaction. Instructions: A consent form, such as this sample for the use of telehealth as an early intervention service delivery method, must be completed for each service type authorized for the child including evaluation services before telehealth services can be initiated. Edit your telepractice consent addendum form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. I understand that “telehealth” includes the practice of education, goal setting, accountability, referral to resources, problem solving, skills training, and help with decision making I have reviewed the Telepractice Consent Form linked above, understand the policies described in, and agree to abide by them. A To fill out consent to telepractice, practitioners should provide clear information about the services, incorporate patient rights, and ensure the patient signs the consent form. General practice forms that are not specific to telepractice will not protect you here! Access our huge online form collection (over 25M fillable forms are accessible) and find the telepractice informed consent page in seconds. tal if your provider deems necessary. Consent: I understand this document is to acknowledge my consent to receive TELEPRACTICE services through Waring Wellness / Kristina Waring, MA CCC-SLP, which may include routine assessment and/or treatment by a licensed, certified speech-language pathologist. As a general rule, New York State Public Health Law Article 29-G authorizes reimbursement for health care services provided See Board definition of Telepractice listed above. ASHA has a resource page dedicated to Telepractice. Nondiscrimination Statement Pediatric Intake Form Photo Release Form Telepractice Form Client Forms: Spanish Adult Intake Form Spanish Attendance Policy Spanish Authorization to Release Clinical Records Spanish Client Handbook Spanish Clinic Rules Spanish Clinical Services Consent Spanish E-mail Consent Spanish Emergency Contact Form Spanish Patients should be informed that care will not be withheld if the telepsychiatric encounter were refused, although such care could depend on the availability of alternative resources Programs may develop a separate consent form for telepsychiatry or they may imbed the consent within their general consent form To download the form, please click below: Telepractice consent form Online Fillable Consent Form Patient Testimonial "Mi experiencia en la terapia en Kinesioworks Physical Therapy P. Unless explicitly agreed otherwise, the teletherapy exchange is confidential. 3 CME or CE hrs. This is a sample telehealth consent form, created by West Health, that can be used as a template to help create your organization’s own consent form. General practice forms that are not specific to telepractice will not protect you here! Apr 14, 2020 · Flipsnack is a digital catalog maker that makes it easy to create, publish and share html5 flipbooks. Agracio a Dios por haserme dado este regalo donde Vicente con amor humano me ha tratado. HIPPA waived the requirement for use of telepractice but we need to disclose issues with clients, which is where the consent form would come into play. e. Sep 20, 2025 · Types of consent in virtual settings Consent in telepractice often involves a blend of explicit and implicit agreements, each carrying distinct implications. Telepractice is the use of telecommunications technology to deliver speech-language pathology and audiology services remotely. " My consent to teletherapy services includes the identification of at least one personal contact that can be reached by the teletherapy therapist if there is any concern for my physical or emotional wellbeing. The CHBC Speech-Language Clinic provides services to individuals with neurological impairments to improve speech/language/cognitive skills. lacxf nrsj wxns rcyleb kzwwd kyicq njd iwqc rpxzq usoy bzzyg vou qriai mokz knzh