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Mullumbimby Psychology ABN: 42097994186113 Stuart Street, Mullumbimby, NSW 2482 T: 02 6684 4748 F: 02 6684 4793Email: info@mullumbimbypsychology.com.au Web: www.mullumbimbypsychology.com.auTelehealth
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Open the document in a word processing software such as Microsoft Word.
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Enter the date at the top of the form.
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Fill in your personal information, including your name, address, and contact details.
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Read the consent statement carefully and make sure you understand its implications.
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Sign the form by either printing your name or providing your electronic signature.
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If applicable, check the box confirming your age or the age of the patient if you are filling it on their behalf.
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Review the completed form to ensure all information is accurate and complete.
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Save the document and submit it as instructed by the healthcare provider or organization.

Who needs consent-form-telehealth-servicesdocx?

01
Anyone who wishes to receive or provide telehealth services may need to fill out the consent-form-telehealth-services.docx.
02
This document is typically required by healthcare providers or organizations offering telehealth services to ensure that both parties understand and agree to the terms and conditions of providing care remotely.
03
It may be necessary for patients, caregivers, or legal guardians to fill out this form, depending on the circumstances and the requirements of the healthcare provider.
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The consent-form-telehealth-servicesdocx is a document that patients sign to give their consent for telehealth services.
Patients who wish to receive telehealth services are required to fill out and file the consent-form-telehealth-servicesdocx.
To fill out the consent-form-telehealth-servicesdocx, patients should read the document carefully, provide required information, and sign it.
The purpose of the consent-form-telehealth-servicesdocx is to ensure that patients understand and agree to receive telehealth services.
The consent-form-telehealth-servicesdocx must include patient's name, date of birth, contact information, reason for seeking telehealth services, and signature.
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