Get Tele Therapy Informed Consent

Filling out the Tele Therapy Informed Consent form is an essential first step in engaging with online counseling services. This guide provides clear and supportive instructions to assist you in completing the process efficiently.

Follow the steps to complete your informed consent for online counseling.

1. Press the ‘Get Form’ button to access the Tele Therapy Informed Consent form and open it in your preferred editor.
2. Review the introductory statement on the form that explains your consent to engage in online counseling services with Robert Myers, LCPC. Ensure you understand the various components of online counseling included in this consent.
3. Read through your rights regarding online counseling services as listed on the form. This includes your right to withdraw consent at any time and the confidentiality protections of your medical information.
4. Check the mandatory and permissive exceptions to confidentiality. Familiarize yourself with the circumstances under which your information may be disclosed.
5. Acknowledge the potential risks associated with online counseling, such as technical failures and unauthorized access to your information. It is important to understand these risks before proceeding.
6. Consider the statement regarding the potential limitations of online counseling compared to face-to-face interactions and the need for possible referrals if necessary.
7. Review the statement regarding your right to access your medical information and records as it relates to HIPAA privacy rules.
8. After fully understanding the information provided, sign the form electronically where indicated, adding your printed name and the date of completion.
9. Once you have completed the form, save your changes, and consider downloading or printing a copy of the form for your records.

Complete your teletherapy informed consent online to initiate your counseling services today.