What happens if I access support through the online application to talking therapies

So many times have I filled the form out and hesitated to send it through because I’ve got a couple of questions regarding it.

1. Phone calls & zoom meetings, the form doesn’t give me an option to opt out and only do face-to-face. I have severe to profound hearing loss and even with my aids, phone calls are just impossible. Zoom meetings are slightly better as I can lipread but the quality of the sound coming from the device’s speaker to my processor’s microphone is poor and I struggle a lot with it and I also rely on body language, which you just don’t get through those meetings.

2. If i get an appointment, will i be sent letters and if so, can i opt out?
   I live in a household that is very much of the older generation who do not believe in mental health and i get mocked regarding it regularly..