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Mount Comfort Counseling Services P. O. Box 3381, Fayetteville AR 72702 4257 N. Label Dr, Suite 2B, Fayetteville AR 72703 4797387059 Glenda Davis, MSC, LEFT, LPC Therapist Informed Consent Statement
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Step 1: Begin by carefully reading the informed consent form for distance.
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Step 3: Fill out your personal details, such as your name, contact information, and any relevant IDs.
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Step 4: Review the purpose of the distance procedure or service described in the form.
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Step 5: Pay attention to any risks or potential benefits mentioned in the form.
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Step 6: If you have any questions or concerns, seek clarification from the appropriate authority or professional.
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Step 7: In case you agree to participate or proceed with the distance service, sign and date the informed consent form.
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Who needs informed consent for distance?

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Anyone who is participating in a distance procedure or service that requires informed consent.
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Informed consent for distance refers to the process by which individuals are made aware of the risks, benefits, and nature of distance-related services, ensuring they agree to participate after understanding this information.
Providers of distance services, such as telehealth practitioners, educators, and researchers, are typically required to file informed consent for distance.
To fill out informed consent for distance, individuals should read the consent form carefully, providing personal information, acknowledging understanding of the risks, benefits, and procedures, and signing to confirm their agreement.
The purpose of informed consent for distance is to protect the rights of participants by ensuring they are fully informed about the services they are participating in and to obtain their voluntary agreement.
Informed consent for distance must include information about the nature of the service, potential risks, benefits, confidentiality policies, and the right to withdraw from the service at any time.
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