Get the free Patient Consent for Telehealth Services - DHCS - CA.gov

Get Form

Show details

Consent to Telehealth ADDENDUM TO INFORMED CONSENT In order to meet client needs during the current health pandemic, California Lutheran Universities Community Counseling Services (CCS) will be providing

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign patient consent for telehealth

Edit your patient consent for telehealth form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your patient consent for telehealth form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit patient consent for telehealth online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

In order to make advantage of the professional PDF editor, follow these steps below:

1

Set up an account. If you are a new user, click Start Free Trial and establish a profile.

2

Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.

3

Edit patient consent for telehealth. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.

4

Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.

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.

Learn more about security & compliance

How to fill out patient consent for telehealth

01

Make sure the patient understands the purpose of telehealth and how it works.

02

Provide the patient with all necessary information regarding their rights and responsibilities during telehealth sessions.

03

Clearly explain the consent form and any potential risks or limitations of telehealth services.

04

Have the patient read and sign the consent form either electronically or in person.

05

Ensure that a copy of the signed consent form is kept in the patient's medical records.

Who needs patient consent for telehealth?

01

Any patient who will be receiving telehealth services from a healthcare provider.

Fill form : Try Risk Free

Rate the form

4.6

Satisfied

43 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.

How can I edit patient consent for telehealth from Google Drive?

By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including patient consent for telehealth, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.

How can I get patient consent for telehealth?

It's simple using pdfFiller, an online document management tool. Use our huge online form collection (over 25M fillable forms) to quickly discover the patient consent for telehealth. Open it immediately and start altering it with sophisticated capabilities.

How can I edit patient consent for telehealth on a smartphone?

You can easily do so with pdfFiller's apps for iOS and Android devices, which can be found at the Apple Store and the Google Play Store, respectively. You can use them to fill out PDFs. We have a website where you can get the app, but you can also get it there. When you install the app, log in, and start editing patient consent for telehealth, you can start right away.

What is patient consent for telehealth?

Patient consent for telehealth is the permission given by a patient to receive medical services remotely through electronic communication.

Who is required to file patient consent for telehealth?

Healthcare providers and facilities offering telehealth services are required to obtain and file patient consent for telehealth.

How to fill out patient consent for telehealth?

Patient consent for telehealth can be filled out by providing basic information such as patient's name, date of birth, signature, and a statement consenting to receive telehealth services.

What is the purpose of patient consent for telehealth?

The purpose of patient consent for telehealth is to ensure that patients understand and agree to receive medical services through electronic communication.

What information must be reported on patient consent for telehealth?

Patient consent for telehealth must include patient's identifying information, description of telehealth services, risks and benefits, and signature of the patient.

Fill out your patient consent for telehealth 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