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Elemental Health Services, provided by *G460* LAST NAME (FIRST) MAN VISIT NUMBER DATE OF BIRTH YYYYMMDD SEX ADDRESS Consent to the Disclosure of Personal Health Information Agency client #: I, IMPRINT
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How to fill out tele-mental health services

01
Step 1: Find a reputable tele-mental health service provider. You can research online or ask for recommendations from your healthcare provider.
02
Step 2: Contact the tele-mental health service provider to inquire about their services and how to get started.
03
Step 3: Complete any necessary forms or documentation required by the tele-mental health service provider.
04
Step 4: Schedule an appointment with a tele-mental health professional.
05
Step 5: Ensure you have a stable internet connection and a device with a camera and microphone for the video session.
06
Step 6: Find a quiet and private space for the tele-mental health session where you won't be disturbed.
07
Step 7: Log in to the tele-mental health platform at the scheduled time and join the video session.
08
Step 8: Engage actively with the tele-mental health professional, discussing your concerns and goals for the session.
09
Step 9: Follow any instructions or recommendations provided by the tele-mental health professional for continued care or treatment.
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Step 10: Take advantage of any additional resources or support offered by the tele-mental health service provider.

Who needs tele-mental health services?

01
Individuals experiencing mental health challenges such as anxiety, depression, or stress.
02
People who prefer the convenience and accessibility of receiving mental health services from the comfort of their own homes.
03
Those residing in remote areas where access to in-person mental health services is limited.
04
Individuals with physical or mobility limitations that make it difficult to attend in-person therapy sessions.
05
Busy professionals or parents who find it challenging to fit in-person therapy sessions into their schedules.
06
People who feel more comfortable talking about their mental health concerns through virtual communication platforms.
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Tele-mental health services involve providing mental health services remotely through technology such as video conferencing or phone calls.
Healthcare providers who offer mental health services remotely are required to file tele-mental health services.
To fill out tele-mental health services, providers need to document the services provided, patient information, dates of service, and any applicable CPT codes.
The purpose of tele-mental health services is to increase access to mental health care for individuals who may have difficulty accessing traditional in-person services.
Information such as patient demographics, diagnoses, treatment provided, and any follow-up care must be reported on tele-mental health services.
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