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Aurora University Counseling Services
Supplemental Telehealth Informed Consent
Telehealth is a broad term that refers to mental health services and information provided electronically or with the
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How to fill out supplemental telehealth informed consent

How to fill out supplemental telehealth informed consent
01
Download the supplemental telehealth informed consent form from the official website or telehealth platform.
02
Read the form carefully to understand the information and obligations involved.
03
Fill out your personal information accurately, including your name, contact details, date of birth, and any relevant identification numbers.
04
Review the terms and conditions of the consent form and ensure you agree with them.
05
Provide additional details as requested, such as your medical history, previous treatments, and current medications.
06
Sign and date the form to demonstrate your consent to participate in telehealth services.
07
If required, have a witness sign the form to confirm your understanding and agreement.
08
Submit the completed form to the appropriate healthcare provider or telehealth platform before your scheduled telehealth appointment.
09
Keep a copy of the filled-out consent form for your records and future reference.
Who needs supplemental telehealth informed consent?
01
Supplemental telehealth informed consent is needed by individuals who wish to engage in telehealth services.
02
This includes patients or clients seeking remote healthcare consultations, assessments, prescriptions, or treatment through telecommunication technologies.
03
Medical professionals, therapists, and other healthcare providers may also require patients to complete supplemental telehealth informed consent to ensure legal and ethical compliance.
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What is supplemental telehealth informed consent?
Supplemental telehealth informed consent is a form that patients must fill out before receiving telehealth services to ensure they understand the risks and benefits of telehealth.
Who is required to file supplemental telehealth informed consent?
Patients who wish to receive telehealth services are required to file supplemental telehealth informed consent.
How to fill out supplemental telehealth informed consent?
Supplemental telehealth informed consent can be filled out electronically or in person, and patients must provide their consent by signing the form.
What is the purpose of supplemental telehealth informed consent?
The purpose of supplemental telehealth informed consent is to inform patients about the risks and benefits of telehealth services and ensure they understand what to expect.
What information must be reported on supplemental telehealth informed consent?
Supplemental telehealth informed consent must include information about the patient's consent to receive telehealth services, any potential risks, and how their data will be protected.
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