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INFORMED CONSENT AND THERAPY AGREEMENT
I, the patient, understand I have the right not to sign this form. My signature below indicates I have read and discussed this agreement; it does
not indicate
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How to fill out telemental health informed consent
How to fill out telemental health informed consent
01
Begin by explaining the purpose and importance of obtaining informed consent for telemental health sessions.
02
Provide a clear explanation of the telehealth platform being used and its security measures to ensure client confidentiality.
03
Discuss the limitations and potential risks of telemental health, such as technical difficulties or breaches in privacy.
04
Explain the process of scheduling and canceling appointments, as well as the expectations for punctuality.
05
Outline the fees, payment methods, and insurance coverage relevant to telemental health services.
06
Discuss the rights and responsibilities of both the client and the mental health professional during telemental health sessions.
07
Obtain consent for recording or documenting the sessions, if applicable.
08
Address emergency protocols and provide contact information for crisis situations.
09
Answer any questions or concerns the client may have regarding telemental health before obtaining their signature.
10
Ensure that the client has a copy of the filled-out informed consent form for their records.
Who needs telemental health informed consent?
01
Telemental health informed consent is needed by anyone participating in telemental health sessions, including both the mental health professional and the client.
02
Clients of telemental health services need to provide informed consent to indicate their understanding and agreement to participate in online therapy.
03
Mental health professionals need informed consent to ensure that their clients are fully aware of the risks, benefits, and expectations of telemental health sessions.
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