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Telemedicine Informed Consent Form I name of patient hereby consent to engaging in telemedicine with Lynne Logan, Ph.D., Licensed Marriage Family Therapist as part of my psychotherapy. I understand
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Start by writing the patient's first name in the designated field on the form.
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The name of the patient should be the full legal name of the individual receiving medical treatment.
Medical professionals or healthcare providers are usually required to file the name of the patient for medical records and billing purposes.
The name of the patient can be filled out on forms provided by the healthcare provider, typically by writing the first name, middle name (if applicable), and last name.
The purpose of the name of the patient is to accurately identify the individual receiving medical care, ensure proper record-keeping, and facilitate communication among healthcare providers.
The name of the patient should include the full legal name, any relevant medical identification numbers, and any preferred name or nickname.
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