District and School Selection Form

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District and School Selection Form

Student Information

Service Type Requested

Consent & Privacy

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Frequently Asked Questions

About Virtual Peace of Mind (VPM)

Virtual Peace of Mind partners directly with school districts to provide school-based and at-home tele-mental-health services for students. Through this partnership, districts proactively offer access to therapy, parent/guardian guidance & training, group therapy, family therapy, community resources/referrals & supports, at no cost to families. Services are delivered by clinical professionals and coordinated with school systems while maintaining strict confidentiality.

Telehealth is the secure delivery of mental health services through video or phone sessions. Students can meet with a professional clinician from school or home using HIPAA-compliant technology, allowing timely access to care without transportation barriers.

VPM serves children and adolescents enrolled in participating school districts. Specific age ranges may vary by district agreement, but services typically support elementary through high school students.

Virtual Peace of Mind services are currently available in school districts that have established a formal partnership with VPM.

VPM is actively expanding and welcoming new district partnerships. School divisions interested in bringing comprehensive, school-based tele-mental-health services to their students are encouraged to contact VPM at 888.663.2475 or vpmadmin@vpmforschools.org to explore partnership opportunities, implementation timelines, and service models.

Services & Clinical Care

Virtual Peace of Mind provides mental health support for the most common childhood and adolescent concerns, including anxiety, depression, stress, grief, trauma-related symptoms, emotional regulation challenges, behavioral concerns, motivation difficulties, and adjustment issues related to school, family, or life changes.

Services emphasize early intervention, prevention, and short-term therapeutic support to help students build coping skills, improve emotional well-being, and function successfully in school and at home.

VPM does not provide emergency or crisis services. If a student is in immediate danger or experiencing a mental health emergency, call 911 or contact the Suicide & Crisis Lifeline by calling or texting 988.

The number of sessions varies based on clinical need. Services are typically short-term and goal-focused, with care plans adjusted as appropriate.

Yes. Students who have previously received services through Virtual Peace of Mind may return for additional support when clinically appropriate. Return services are based on the student’s current needs

VPM services are not designed to duplicate ongoing therapy care. If a student is already receiving consistent mental health treatment from another provider, VPM does not provide concurrent therapy to ensure continuity and clinical appropriateness of care.

Families are encouraged to share information about existing services during the intake process. When appropriate, VPM may support care coordination, or transition planning, but does not replace or overlap with an established treatment relationship.

Office Hours
Virtual Peace of Mind’s administrative office operates Monday through Friday, 9:00 a.m. to 5:00 p.m.

During these hours, families and districts can receive support related to intake questions, scheduling coordination, documentation, and general program inquiries.

Clinical Appointment Hours
Clinical services are available Monday through Sunday, 7:00 a.m. to 7:00 p.m., including evenings, weekends, holidays, and throughout the summer.

Therapy sessions are offered before school, after school, and—when permitted by participating districts—during the school day.

This structure allows families access to care beyond traditional business hours while maintaining reliable administrative support.

Getting Started: Referrals & Registration

Referrals are completed by parents or legal guardians through the school’s parent portal. This ensures families are informed, engaged, and actively involved in the decision to pursue mental health services.

School staff may encourage families to explore services, but the referral and opt-in process must be initiated by the parent or guardian to protect privacy and consent requirements.

Parents access the link to VPM through the school’s district website. The link provides a district identified landing page where parents can fill out a short intake form that is sent securely to VPM.

To complete the registration process, parents or guardians should be prepared to provide:

  • Parent or guardian name and contact information
  • Student name, date of birth, grade, and school
  • Insurance information (if available), including images of the front and back of the insurance card
  • Any priority concerns or information you would like the clinician to be aware of
  • Documentation that verifies the child is enrolled in the specific district

Having this information ready helps ensure the process is quick and smooth.

Yes. VPM coordinates scheduling directly with families after all required intake and consent steps are completed.

Once VPM receives the intake form, parents are sent consent documents through VPM’s secure, HIPAA-compliant electronic health record system. After consents are signed, VPM schedules the student’s first session.

Once consent forms are completed in the VPM system, they remain valid until the student is formally discharged from services. Parents or guardians do not need to resubmit consent forms if a student pauses and later resumes services within the same school year.

However, parents or guardians must verify enrollment within the district each school calendar year. New consent forms are only required if a student has been discharged from VPM services or if there are significant changes that require updated authorization.

Parents or guardians can update contact or insurance information by notifying the VPM care team directly. Keeping this information current helps ensure timely communication and uninterrupted services.

Parent & Caregiver Involvement

Parents or guardians complete the opt-in and intake process, review and sign consent documents, and are included in care coordination.

Parent or guardian presence depends on the student’s age. Students age 13 and older may attend therapy sessions independently, with parent or guardian involvement coordinated as clinically appropriate.

For students age 12 and under, a parent or guardian must be present in the home during the session, but does not need to be in the room unless requested by the clinician, or parental choice. Expectations are discussed with families during the intake process to ensure comfort, safety, and appropriate support.

No. Consent requirements follow state laws and district agreements. Parental or guardian consent is required for services.

Cost, Insurance & Payment

For students enrolled in participating districts, services are provided at no cost to families as part of the district’s partnership with VPM.

Providing insurance information helps support the sustainability of services by allowing Virtual Peace of Mind (VPM) to bill insurance providers when appropriate. Families are never billed for services provided through district partnerships.

Families may receive an Explanation of Benefits (EOB) from their insurance provider. An EOB is not a bill and does not require payment.

If a copay is associated with a covered service, the district covers the copay as part of its partnership agreement, ensuring there is no out-of-pocket cost to families.

No. Parents are informed of insurance use and receive standard communications such as an Explanation of Benefits (EOB) if applicable.

Students without insurance can still receive services through participating districts.

Services are supported through school district partnership fees. This funding model allows districts to proactively provide mental health services to students while ensuring families have access to care without any direct cost.

Privacy, Confidentiality & Compliance

Yes. Therapy sessions are confidential. Schools do not receive therapy details or clinical notes unless authorized by parents or guardians.

Yes. VPM uses HIPAA-compliant electronic health record systems and secure telehealth platforms.

Student information is protected through strict privacy safeguards, secure data systems, and compliance with HIPAA and FERPA regulations.

Yes. Immigration status does not affect eligibility for services through participating school districts.

Technology & Telehealth Access

Telehealth services are provided based on clinician licensure laws. Availability may depend on the student’s physical location at the time of the session.

A device with internet access, a camera, and audio capability is required. VPM platforms are designed to be accessible and user-friendly.

If internet access is limited, VPM works with families to explore alternative options, including phone-based sessions when clinically appropriate.

Providers & Accessibility

Virtual Peace of Mind’s clinicians are qualified mental health professionals, including licensed providers and license-eligible clinicians who practice under appropriate supervision, in accordance with state regulations. Our clinical team includes Licensed Clinical Counsels (LPC), Licensed Clinical Social Workers (LCSW), Certified Substance Abuse Counselors (CSAC), and Residents in counseling,  social work, and substance use who meet all state licensure, training, and credentialing requirements.

All clinicians are carefully vetted, trained in school-based mental health care, and supported through clinical supervision to ensure high-quality, ethical, and effective services for students and families.

Virtual Peace of Mind strives to provide language-accessible services and works to match families with providers who speak languages other than English.

VPM emphasizes culturally responsive care and works to ensure services reflect the diverse communities served. When a language-matched provider is not available, VPM utilizes secure interpretation services and language assistance platforms to support effective communication during sessions.

This approach helps ensure families can fully participate in care regardless of their primary language.

Staff & School Support

School staff can support families by sharing general information about the VPM program and encouraging parents or guardians to explore services through the parent portal. Staff do not initiate referrals but play an important role in guiding families to available supports.

No. Schools do not receive confirmation that a student is enrolled in or receiving VPM services unless a parent or guardian has explicitly authorized consent for VPM to share this information.

Without written authorization, all participation, clinical information, diagnoses, and session details remain confidential and are protected under HIPAA.

If a parent or guardian chooses to sign a consent allowing limited coordination with school staff, only the minimum necessary information will be shared, and only for the purposes outlined in that consent.

School staff can assist families by:

  • Helping them locate the parent portal
  • Explaining the opt-in process at a high level
  • Encouraging completion of intake steps
  • Directing families to VPM contact points for additional help 888.663.2475 or vpmadmin@vpmforschools.org

Yes. Virtual Peace of Mind also offers mental health support for teachers, administrators, and school staff in participating districts.

Staff services may include:

  • Individual therapy sessions
  • Short-term support for stress, burnout, and work-related challenges
  • Access to mental health resources and coping tools
  • Flexible scheduling, including before- and after-work hours

Staff services are confidential, separate from student services, and provided through secure, HIPAA-compliant systems. Participation in staff services is voluntary and not shared with school administration unless explicitly authorized by the staff member.

District Partnerships

Districts interested in partnering with Virtual Peace of Mind can contact the VPM team at 888.663.2475 or vpmadmin@vpmforschools.org to discuss service models, implementation, and support options.

District Partnerships

Virtual Peace of Mind partners directly with school districts to provide school-based and at-home tele-mental-health services for students. Through this partnership, districts proactively offer access to therapy, parent/guardian guidance & training, group therapy, family therapy, community resources/referrals & supports, at no cost to families. Services are delivered by clinical professionals and coordinated with school systems while maintaining strict confidentiality.

Telehealth is the secure delivery of mental health services through video or phone sessions. Students can meet with a professional clinician from school or home using HIPAA-compliant technology, allowing timely access to care without transportation barriers.

VPM serves children and adolescents enrolled in participating school districts. Specific age ranges may vary by district agreement, but services typically support elementary through high school students.

Virtual Peace of Mind services are currently available in school districts that have established a formal partnership with VPM.

VPM is actively expanding and welcoming new district partnerships. School divisions interested in bringing comprehensive, school-based tele-mental-health services to their students are encouraged to contact VPM at 888.663.2475 or vpmadmin@vpmforschools.org to explore partnership opportunities, implementation timelines, and service models.

Virtual Peace of Mind provides mental health support for the most common childhood and adolescent concerns, including anxiety, depression, stress, grief, trauma-related symptoms, emotional regulation challenges, behavioral concerns, motivation difficulties, and adjustment issues related to school, family, or life changes.

Services emphasize early intervention, prevention, and short-term therapeutic support to help students build coping skills, improve emotional well-being, and function successfully in school and at home.

VPM does not provide emergency or crisis services. If a student is in immediate danger or experiencing a mental health emergency, call 911 or contact the Suicide & Crisis Lifeline by calling or texting 988.

The number of sessions varies based on clinical need. Services are typically short-term and goal-focused, with care plans adjusted as appropriate.

Yes. Students who have previously received services through Virtual Peace of Mind may return for additional support when clinically appropriate. Return services are based on the student’s current needs

VPM services are not designed to duplicate ongoing therapy care. If a student is already receiving consistent mental health treatment from another provider, VPM does not provide concurrent therapy to ensure continuity and clinical appropriateness of care.

Families are encouraged to share information about existing services during the intake process. When appropriate, VPM may support care coordination, or transition planning, but does not replace or overlap with an established treatment relationship.

Office Hours
Virtual Peace of Mind’s administrative office operates Monday through Friday, 9:00 a.m. to 5:00 p.m.

During these hours, families and districts can receive support related to intake questions, scheduling coordination, documentation, and general program inquiries.

Clinical Appointment Hours
Clinical services are available Monday through Sunday, 7:00 a.m. to 7:00 p.m., including evenings, weekends, holidays, and throughout the summer.

Therapy sessions are offered before school, after school, and—when permitted by participating districts—during the school day.

This structure allows families access to care beyond traditional business hours while maintaining reliable administrative support.

Referrals are completed by parents or legal guardians through the school’s parent portal. This ensures families are informed, engaged, and actively involved in the decision to pursue mental health services.

School staff may encourage families to explore services, but the referral and opt-in process must be initiated by the parent or guardian to protect privacy and consent requirements.

Parents opt in through the parent portal on the school’s website. This opt-in allows the school district to share contact information with VPM but does not begin therapy. After opting in, a short intake form appears in the parent portal and is sent securely to VPM.

To complete the registration process, parents or guardians should be prepared to provide:

  • Parent or guardian name and contact information
  • Student name, date of birth, grade, and school
  • Insurance information (if available), including images of the front and back of the insurance card
  • Any priority concerns or information you would like the clinician to be aware of

Having this information ready helps ensure the process is quick and smooth.

Yes. VPM coordinates scheduling directly with families after all required intake and consent steps are completed.

Once VPM receives the intake form, parents are sent consent documents through VPM’s secure, HIPAA-compliant electronic health record system. After consents are signed, VPM schedules the student’s first session.

Once consent forms are completed in the VPM system, they remain valid until the student is formally discharged from services. Parents or guardians do not need to resubmit consent forms if a student pauses and later resumes services within the same school year.

However, parents or guardians must complete the district’s opt-in process at the beginning of each school calendar year. New consent forms are only required if a student has been discharged from VPM services or if there are significant changes that require updated authorization.

Parents or guardians can update contact or insurance information by notifying the VPM care team directly. Keeping this information current helps ensure timely communication and uninterrupted services.

Parents or guardians complete the opt-in and intake process, review and sign consent documents, and are included in care coordination.

Parent or guardian presence depends on the student’s age. Students age 13 and older may attend therapy sessions independently, with parent or guardian involvement coordinated as clinically appropriate.

For students age 12 and under, a parent or guardian must be present in the home during the session, but does not need to be in the room unless requested by the clinician, or parental choice. Expectations are discussed with families during the intake process to ensure comfort, safety, and appropriate support.

No. Consent requirements follow state laws and district agreements. Parental or guardian consent is required for services.

For students enrolled in participating districts, services are provided at no cost to families as part of the district’s partnership with VPM.

Insurance information helps support the sustainability of services by allowing VPM to bill insurance providers when appropriate. Families are never billed for services provided through district partnerships.

Families may receive an Explanation of Benefits (EOB) from their insurance provider. An EOB is not a bill and does not require payment.

If a copay is associated with a covered service, the district covers the copay as part of its partnership agreement, ensuring there is no out-of-pocket cost to families.

No. Parents are informed of insurance use and receive standard communications such as an Explanation of Benefits (EOB) if applicable.

Students without insurance can still receive services through participating districts.

Services are supported through school district partnership fees. This funding model allows districts to proactively provide mental health services to students while ensuring families have access to care without any direct cost.

Yes. Therapy sessions are confidential. Schools do not receive therapy details or clinical notes unless authorized by parents or guardians.

Yes. VPM uses HIPAA-compliant electronic health record systems and secure telehealth platforms.

Student information is protected through strict privacy safeguards, secure data systems, and compliance with HIPAA and FERPA regulations.

Yes. Immigration status does not affect eligibility for services through participating school districts.

Telehealth services are provided based on clinician licensure laws. Availability may depend on the student’s physical location at the time of the session.

A device with internet access, a camera, and audio capability is required. VPM platforms are designed to be accessible and user-friendly.

If internet access is limited, VPM works with families to explore alternative options, including phone-based sessions when clinically appropriate.

Virtual Peace of Mind’s clinicians are qualified mental health professionals, including licensed providers and license-eligible clinicians who practice under appropriate supervision, in accordance with state regulations. Our clinical team includes Licensed Clinical Counsels (LPC), Licensed Clinical Social Workers (LCSW), Certified Substance Abuse Counselors (CSAC), and Residents in counseling,  social work, and substance use who meet all state licensure, training, and credentialing requirements.

All clinicians are carefully vetted, trained in school-based mental health care, and supported through clinical supervision to ensure high-quality, ethical, and effective services for students and families.

Virtual Peace of Mind strives to provide language-accessible services and works to match families with providers who speak languages other than English.

VPM emphasizes culturally responsive care and works to ensure services reflect the diverse communities served. When a language-matched provider is not available, VPM utilizes secure interpretation services and language assistance platforms to support effective communication during sessions.

This approach helps ensure families can fully participate in care regardless of their primary language.

School staff can support families by sharing general information about the VPM program and encouraging parents or guardians to explore services through the parent portal. Staff do not initiate referrals but play an important role in guiding families to available supports.

No. Schools do not receive confirmation that a student is enrolled in or receiving VPM services unless a parent or guardian has explicitly authorized consent for VPM to share this information.

Without written authorization, all participation, clinical information, diagnoses, and session details remain confidential and are protected under HIPAA.

If a parent or guardian chooses to sign a consent allowing limited coordination with school staff, only the minimum necessary information will be shared, and only for the purposes outlined in that consent.

School staff can assist families by:

  • Helping them locate the parent portal
  • Explaining the opt-in process at a high level
  • Encouraging completion of intake steps
  • Directing families to VPM contact points for additional help 888.663.2475 or vpmadmin@vpmforschools.org

Yes. Virtual Peace of Mind also offers mental health support for teachers, administrators, and school staff in participating districts.

Staff services may include:

  • Individual therapy sessions
  • Short-term support for stress, burnout, and work-related challenges
  • Access to mental health resources and coping tools
  • Flexible scheduling, including before- and after-work hours

Staff services are confidential, separate from student services, and provided through secure, HIPAA-compliant systems. Participation in staff services is voluntary and not shared with school administration unless explicitly authorized by the staff member.

Districts interested in partnering with Virtual Peace of Mind can contact the VPM team at 888.663.2475 or vpmadmin@vpmforschools.org to discuss service models, implementation, and support options.