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Oregon Health & Science University Hospitals and Clinics CO1400Student Health & Wellness Center×CO1400×ACCOUNT NO. MED. REC. NO. NAME BIRTHDATEINFORMED CONSENT FOR TELL PSYCHOLOGY Page 1 of 2Patient
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01
Open the SHW-Informed-Consent-for-Tele-Psychology PDF document provided by OHSU.
02
Read and understand all the information and terms mentioned in the document.
03
Fill in your personal details as required (e.g. name, address, contact information).
04
Review the consent statements carefully and ensure you agree with them.
05
Sign and date the document to indicate your consent to telepsychology services.
06
Make a copy of the filled-out form for your records.

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01
Individuals who are seeking telepsychology services from OHSU are required to fill out the SHW-Informed-Consent-for-Tele-Psychology PDF form.
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The shw-informed-consent-for-tele-psychologypdf - ohsu is a form used for obtaining informed consent for telepsychology services at OHSU.
All patients who wish to receive telepsychology services at OHSU are required to fill out and file the shw-informed-consent-for-tele-psychologypdf form.
The shw-informed-consent-for-tele-psychologypdf form can be filled out by the patient with assistance from their healthcare provider or mental health professional. It includes sections for the patient to provide their consent for telepsychology services.
The purpose of the shw-informed-consent-for-tele-psychologypdf form is to ensure that patients understand the risks and benefits of receiving telepsychology services and to give their informed consent.
The shw-informed-consent-for-tele-psychologypdf form typically includes information about the patient's rights, the limitations of confidentiality for telepsychology services, and the potential risks and benefits of telepsychology.
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