We're doing in person with masks, both vaxxed, six feet of distance (for whatever that's worth), and a portable air purifier. We typically email ahead if there's some sort of question about exposure or symptoms. I'm trying to be particularly careful right now for various reasons, and my T seemed to be slightly more worried/cautious last week and said she was going to start spacing out in person appointments again (rather than seeing people back to back). Plan B is always telehealth, although I'm sure I could cancel without incurring a fee. My T generally prefers video chat, but sometimes I prefer phone.