Get Teletherapy Consent Form 2020-2024

An explicit consent can be given in writing or verbally. However, you can only rely on a verbal consent if you make a written record of: the name of the individual who gave the consent.

Patients can give their consent verbally at the beginning of their first telehealth visit, and clinicians can document it in the medical record. In addition to verbal consent, a signature can be obtained through your patient portal and the U.S. mail.

Informed consent forms are used by health and telehealth organizations to inform patients of the risks associated with a particular medical treatment and have them provide a signature to give their informed consent.

An easier way to get patient consent online is to create a consent form through a provider like JotForm. With online forms, your patients can fill out their information, electronically sign the form, and send it back to you securely, even from their mobile devices.

You agree to inform me of the address where you are at the beginning of each session. I also need a contact person who I may contact on your behalf in a life- threatening emergency only. This person will only be contacted to go to your location or take you to the hospital in the event of an emergency.

I understand, agree, and expressly consent to [NAME] obtaining, using, storing, and disseminating to necessary third parties, information about me, including my image, as necessary to provide the telehealth/telemedicine services.

Patients can give their consent verbally at the beginning of their first telehealth visit, and clinicians can document it in the medical record. In addition to verbal consent, a signature can be obtained through your patient portal and the U.S. mail.

The form of documentation could include any of the following: Note written in the study subject's record. On a consent/assent documentation form with a signature page. On a consent form with a page for documentation of verbal consent and when applicable, assent and HIPAA Authorization.