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Brinkley Group, LLC Counseling Services Teletherapy Informed Consent Form I, hereby consent to me or my child, engaging in teletherapy with Brinkley Group, LLC Kim Brinkley, LPC or Andy Brinkley,

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How to fill out mental health informed consent

01

Start by reading the mental health informed consent form carefully to understand the purpose, risks, and benefits of the treatment.

02

Make sure you have a clear understanding of your rights as a patient and the confidentiality of your information.

03

If you have any questions or concerns, don't hesitate to ask the mental health professional before signing the consent form.

04

Fill out all the necessary personal information accurately, such as your name, date of birth, and contact details.

05

Make sure to provide a comprehensive medical history, including any past mental health treatments or medications.

06

Understand the treatment options available and the potential side effects or risks involved.

07

If you are comfortable with the information provided and have no further questions, sign and date the consent form.

08

Keep a copy of the signed consent form for your records.

Who needs mental health informed consent?

01

Anyone seeking mental health treatment or therapy should be asked to provide informed consent.

02

This includes individuals with mental health conditions, individuals seeking counseling or psychotherapy, and individuals participating in mental health research studies.

03

Informed consent is necessary to ensure that the patient or participant has a clear understanding of the treatment or study, its potential risks and benefits, and their rights as a participant in the process.

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What is mental health informed consent?

Mental health informed consent is a process where a healthcare provider explains the details, risks, and benefits of a mental health treatment to a patient before the patient agrees to receive the treatment.

Who is required to file mental health informed consent?

Any mental health professional or healthcare provider who is administering a mental health treatment to a patient is required to file mental health informed consent.

How to fill out mental health informed consent?

To fill out mental health informed consent, the healthcare provider must include details of the treatment, risks, benefits, alternative options, and ensure that the patient understands and agrees to the treatment.

What is the purpose of mental health informed consent?

The purpose of mental health informed consent is to ensure that the patient understands the treatment they are receiving, the risks and benefits associated with it, and that the patient voluntarily agrees to receive the treatment.

What information must be reported on mental health informed consent?

The information that must be reported on mental health informed consent includes details of the treatment, risks, benefits, alternative options, and confirmation that the patient understands and consents to the treatment.

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