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Catherine M. Main, Ph.D., LLC7100 N. High St., Suite 205 Worthington, OH 43085Ph: 6145056949Fax: 6145056558www.catherinemalkinpsychologist.conformed Consent for Telebehavioral Health1. I understand that I/my child must be an established client receiving services from Dr. Main in order to reconsider for telepsychology.
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How to fill out telepsychology consentdocx
01
Open the telepsychology consentdocx file.
02
Read all the instructions and information provided in the document.
03
Fill out your personal details such as name, date of birth, and contact information.
04
Review and understand the terms and conditions of telepsychology services.
05
Provide your consent by signing and dating the document.
06
Save the filled-out document as a separate file for your records.
07
Submit the telepsychology consentdocx file to the relevant healthcare provider or mental health professional.
Who needs telepsychology consentdocx?
01
Anyone who wishes to engage in telepsychology services needs telepsychology consentdocx. This document ensures that the individual understands and gives their informed consent for receiving psychological services remotely. It is typically required by healthcare providers and mental health professionals who offer telepsychology services.
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What is telepsychology consentdocx?
Telepsychology consentdocx is a document used to obtain informed consent from clients engaging in psychological services delivered via telecommunication methods.
Who is required to file telepsychology consentdocx?
Mental health professionals providing telepsychology services are required to file telepsychology consentdocx.
How to fill out telepsychology consentdocx?
To fill out telepsychology consentdocx, a practitioner should complete the sections regarding client information, the nature of telepsychology services, and obtain the client's signature to confirm understanding and agreement.
What is the purpose of telepsychology consentdocx?
The purpose of telepsychology consentdocx is to ensure that clients are fully informed about the modality of service delivery and to protect both the client and clinician by validating consent.
What information must be reported on telepsychology consentdocx?
The information that must be reported on telepsychology consentdocx includes the client's personal details, the scope of services, risks and benefits, confidentiality agreements, and the client's acknowledgment.
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