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Maryellen McLean M.S. LPC 3821 Juniper Trace, suite 102 Bee Cave, Texas 5129134643 Distance Counseling Informed Consent Form (For clients who wish to engage in distance counseling: Phone or visual
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How to fill out distance counseling informed consent:

01
Read the document thoroughly to understand its purpose and requirements.
02
Fill in your personal information accurately, including your full name, address, and contact details.
03
Provide details about your current mental health condition or the reason for seeking distance counseling.
04
Review the confidentiality and privacy sections to understand how your personal information will be protected.
05
Sign and date the document to indicate your informed consent for participating in distance counseling.

Who needs distance counseling informed consent:

01
Individuals who are seeking counseling services through online platforms or telecommunication channels.
02
People who are unable to attend in-person counseling sessions but still want to receive professional help.
03
Remote or long-distance clients who prefer the convenience and accessibility of distance counseling.
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Distance counseling informed consent is a legal document that outlines the terms and conditions of providing counseling services remotely using technology.
Counselors who offer counseling services through distance communication methods are required to file distance counseling informed consent.
Distance counseling informed consent can be filled out by providing client information, counselor information, details of counseling services, consent for remote sessions, confidentiality agreements, and any other relevant information.
The purpose of distance counseling informed consent is to ensure that clients understand the risks and benefits of receiving counseling services remotely and give informed consent to participate in such sessions.
Information such as client name, counselor credentials, mode of communication, confidentiality policies, potential risks, benefits, and limitations of remote counseling must be reported on distance counseling informed consent.
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