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TELEPSYCHOLOGY INFORMED CONSENT
Hillary Wish nick, Ph.D., Ohio Licensed Psychologist, Indiana Licensed Psychologist
As a client receiving psychological services through telepsychology methods, I understand:
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How to fill out telepsychology informed consent

How to fill out telepsychology informed consent
01
To fill out telepsychology informed consent point by point, follow these steps:
02
Begin by stating the purpose of the telepsychology informed consent form. This should include a brief explanation of telepsychology and how it will be used in the therapy process.
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Include a section that outlines the benefits and risks of telepsychology. This should cover things like the convenience of remote sessions and potential privacy concerns.
04
Clearly explain the client's rights and responsibilities when participating in telepsychology. This may include details about confidentiality, scheduling, and payment.
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Provide information on how to access and troubleshoot the technology necessary for telepsychology sessions. Include instructions for downloading any required software or apps.
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Include a section for the client to acknowledge their understanding and agreement to participate in telepsychology. This may include a signature line for both the client and the therapist.
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Consider including additional sections or information that may be relevant to your specific practice or jurisdiction.
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Review the completed form with the client before beginning telepsychology sessions to ensure mutual understanding and agreement.
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Keep a copy of the signed telepsychology informed consent form in the client's file for future reference.
Who needs telepsychology informed consent?
01
Telepsychology informed consent is needed for any individual who will be participating in therapy sessions conducted remotely using technology. This may include individuals seeking therapy for a wide range of mental health concerns such as anxiety, depression, trauma, or relationship issues. It is important for both the client and the therapist to have a clear understanding of the expectations, benefits, and risks of telepsychology before engaging in remote therapy sessions.
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What is telepsychology informed consent?
Telepsychology informed consent is a legal and ethical requirement for mental health professionals providing services online to inform clients of the risks, benefits, and limitations of telepsychology services.
Who is required to file telepsychology informed consent?
Any mental health professional offering services online, such as psychologists, counselors, and therapists, is required to provide telepsychology informed consent to their clients.
How to fill out telepsychology informed consent?
Telepsychology informed consent can be filled out by providing clients with a document outlining the terms, risks, benefits, and limitations of receiving mental health services online.
What is the purpose of telepsychology informed consent?
The purpose of telepsychology informed consent is to ensure that clients are fully informed about the nature of online mental health services and to protect both the client and the provider.
What information must be reported on telepsychology informed consent?
Telepsychology informed consent should include information on confidentiality, risks of online communication, emergency procedures, fees, and client rights.
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