Form preview

Get the free Distance Counseling Consent Form 2-2.docx

Get Form
Face and/or Distance Counseling Consent & Information Form Please Read, Complete and Sign 1 Form For Each Person: Once all 3 pages are completed, please either scan and email this form to Victoria
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign distance counseling consent form

Edit
Edit your distance counseling consent form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your distance counseling consent form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing distance counseling consent form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Log in to your account. Start Free Trial and register a profile if you don't have one yet.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit distance counseling consent form. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out distance counseling consent form

Illustration

How to fill out distance counseling consent form

01
Start by downloading the distance counseling consent form from the official website or obtain a physical copy from your counselor.
02
Read the instructions and guidelines provided with the form thoroughly to understand the requirements and purpose of the form.
03
Fill in your personal information accurately in the designated spaces, including your full name, contact details, and date of birth.
04
Provide details about your counselor or therapist, such as their name, contact information, and credentials.
05
Specify the mode of communication for the distance counseling sessions, whether it's through video conferencing, phone calls, or emails.
06
Sign and date the consent form to acknowledge your understanding and agreement with the terms and conditions of distance counseling.
07
If applicable, provide any additional information or special requests related to the distance counseling sessions.
08
Review the completed form for any errors or missing information before submitting it to your counselor.
09
Submit the filled-out consent form to your counselor through the preferred method of communication, either by mail, email, or in-person.
10
Keep a copy of the signed consent form for your records.

Who needs distance counseling consent form?

01
Anyone who wishes to engage in counseling sessions remotely through technological means, such as video conferencing, phone calls, or emails, may need to fill out a distance counseling consent form.
02
Individuals who are unable to attend in-person counseling sessions due to geographic limitations, physical disabilities, or other constraints may opt for distance counseling.
03
Both new clients and existing clients who transition from traditional in-person counseling to remote sessions may be required to complete a distance counseling consent form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
48 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

It's simple using pdfFiller, an online document management tool. Use our huge online form collection (over 25M fillable forms) to quickly discover the distance counseling consent form. Open it immediately and start altering it with sophisticated capabilities.
pdfFiller has made it simple to fill out and eSign distance counseling consent form. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Begin a free trial to discover all of the features of pdfFiller, the best document editing solution.
Yes. By adding the solution to your Chrome browser, you can use pdfFiller to eSign documents and enjoy all of the features of the PDF editor in one place. Use the extension to create a legally-binding eSignature by drawing it, typing it, or uploading a picture of your handwritten signature. Whatever you choose, you will be able to eSign your distance counseling consent form in seconds.
Distance counseling consent form is a document that allows a client to give their consent to participate in counseling sessions via electronic means such as phone, video conferencing, or web chat.
Any therapist or counselor who wishes to provide counseling services to clients through distance counseling must have their clients fill out a distance counseling consent form.
To fill out a distance counseling consent form, clients must provide their personal information, agree to the terms and conditions of the counseling sessions, and sign the form to give their consent.
The purpose of a distance counseling consent form is to ensure that clients are aware of the risks and benefits of receiving counseling services through electronic communication and to obtain their consent to participate in such sessions.
The distance counseling consent form must include the client's personal information, the therapist's contact information, the terms and conditions of the counseling sessions, and the client's signature to indicate their consent.
Fill out your distance counseling consent form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.