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Julie Hanson, PSD, MHC ___Julie Hanson Counseling, PLLC4257754059, ext. 701Telebehavioral Health Informed Consent As a client receiving behavioral services through telebehavioral health technologies,
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How to fill out tele-behavioral health informed consent

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Step 1: Start by providing your personal information such as your name, date of birth, and contact details.
02
Step 2: Read through the informed consent form carefully to understand the purpose, benefits, and potential risks of participating in tele-behavioral health services.
03
Step 3: If you agree to the terms and conditions stated in the informed consent form, sign and date the document.
04
Step 4: Make sure to ask any questions or seek clarification regarding the consent form before signing.
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Step 5: Keep a copy of the signed informed consent form for your records.

Who needs tele-behavioral health informed consent?

01
Anyone who wishes to participate in tele-behavioral health services needs to fill out a tele-behavioral health informed consent form. This form is typically required by healthcare providers or therapists offering tele-behavioral health services to ensure that the participants understand the nature of the services and consent to their involvement.
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Tele-behavioral health informed consent is a process in which healthcare providers obtain a patient's permission before delivering behavioral health services via telecommunication technologies. It ensures that patients are informed about the treatment, its risks, benefits, and their rights.
Healthcare providers who offer tele-behavioral health services are required to file tele-behavioral health informed consent to ensure compliance with legal and ethical guidelines regarding patient care.
To fill out tele-behavioral health informed consent, providers should provide clear information regarding the services offered, the technology used, confidentiality limitations, and any potential risks or benefits. The patient should then acknowledge understanding by signing the document.
The purpose of tele-behavioral health informed consent is to protect patient rights, ensure transparency about the treatment process, and foster an informed therapeutic relationship between the patient and the provider.
The information reported on tele-behavioral health informed consent typically includes the type of services provided, the modalities used, confidentiality policies, the risks and benefits of telehealth, emergency procedures, and contact information for the provider.
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