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SHELLEY GALASSO BONANNO, M.A. Limited Licensed Psychologist ___ 11111 Hall Road, Suite 201, Utica, MI 48317 Telephone: 5869075734 Email: shelleybonanno@comcast.netInformed Consent for Telehealth Psychotherapy
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How to fill out informed consent for telehealth

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How to fill out informed consent for telehealth

01
Begin by clearly explaining the purpose of the telehealth consultation to the patient.
02
Provide details on the types of services to be provided and any limitations that may apply.
03
Explain how the patient's privacy and confidential information will be protected during the telehealth session.
04
Clearly outline the risks and benefits of telehealth services.
05
Allow the patient to ask any questions they may have before signing the informed consent form.
06
Ensure the patient signs and dates the informed consent form to indicate their understanding and agreement.
07
Provide the patient with a copy of the signed informed consent form for their records.

Who needs informed consent for telehealth?

01
Any individual who is seeking to receive healthcare services through telehealth needs to provide informed consent.
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Informed consent for telehealth is the process by which a patient agrees to receive healthcare services via telecommunication technologies after being thoroughly informed about the nature, risks, benefits, and alternatives to the telehealth services.
Both healthcare providers offering telehealth services and patients utilizing those services are required to file informed consent.
To fill out informed consent for telehealth, patients typically need to complete a form that includes personal information, acknowledgment of understanding the telehealth process, and agreement to participate in telehealth services.
The purpose of informed consent for telehealth is to ensure that patients are fully aware of and understand the modalities of telehealth services, including any potential risks associated with the remote delivery of care.
Informed consent for telehealth must include details such as the patient's medical history, description of the telehealth services, risks and benefits, alternatives to telehealth, and the patient's right to ask questions.
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