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Lynda Phillips, LC MHC, NCC. New York License no: 0075541 NCC no: 328939 Email: Lynda@Phillipsmentalhealththerapy.com Website: www.PhillipsMentalHealthTherapy.com Cell: 9176921459 or 6314702138 Sees

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How to fill out telepsychology consent form

01

First, carefully read the telepsychology consent form to understand the content and purpose.

02

Fill in your personal information accurately, including your name, date of birth, address, and contact information.

03

Review and acknowledge the privacy policy and confidentiality agreement stated in the form.

04

Sign and date the form to indicate your consent to participate in telepsychology services.

05

Scan or upload the completed form to the designated online platform or send it via email to your mental health care provider.

Who needs telepsychology consent form?

01

Anyone seeking telepsychology services or therapy sessions conducted remotely through video conferencing or phone calls.

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What is telepsychology consent form?

The telepsychology consent form is a document that outlines the terms and conditions of receiving mental health services through remote means such as video chat or phone calls.

Who is required to file telepsychology consent form?

Any individual seeking mental health services through telepsychology is required to fill out and sign the telepsychology consent form.

How to fill out telepsychology consent form?

The telepsychology consent form can be filled out by providing personal information, acknowledging the risks and benefits of telepsychology, and signing the document.

What is the purpose of telepsychology consent form?

The purpose of the telepsychology consent form is to ensure that clients are aware of the nature of telepsychology services, their rights, and any potential risks involved in receiving mental health services remotely.

What information must be reported on telepsychology consent form?

The telepsychology consent form typically includes information about the client's personal details, the therapist's qualifications, the methods of communication used, confidentiality agreements, and emergency contact information.

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