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Children's Aid Society of Alabama Informed Consent for Telebehavioral/online Services Client Name: ___ Date: ___ CAS Program/Staff: ___ Telebehavioral/online service is the delivery of services using
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How to fill out consent for telebehavioralonline services

01
Obtain the consent form from the telebehavioral online services provider.
02
Read the form thoroughly and make sure you understand all the terms and conditions.
03
Fill in your personal information accurately, including your name, contact details, and any relevant medical history.
04
Sign and date the form to indicate your agreement to receive telebehavioral online services.
05
Return the completed form to the provider either electronically or by mail.

Who needs consent for telebehavioralonline services?

01
Anyone who wishes to receive telebehavioral online services needs to provide consent.
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Consent for telebehavioral online services refers to the agreement obtained from a client or patient that allows a mental health professional to provide services through digital platforms while ensuring they understand the nature, risks, and benefits of the treatment.
Mental health professionals providing telebehavioral services are required to obtain and file consent from clients before commencing online therapeutic interventions.
Filling out consent for telebehavioral online services typically involves clearly outlining the nature of the services, potential risks, benefits, confidentiality policies, and obtaining the client’s signature to confirm their understanding and agreement.
The purpose of consent for telebehavioral online services is to ensure that clients are informed about the treatment they will receive, understand their rights, and provide explicit permission to engage in telehealth services.
Consent forms for telebehavioral online services must report information such as the client's identification, service provider's details, a description of the services, potential risks and benefits, confidentiality issues, and the client's signature.
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