Get Telehealth Consent Form

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.

I have a right to confidentiality with regard to my treatment and related communications via Telehealth under the same laws that protect the confidentiality of my treatment information during in-person psychotherapy.

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.

Consent can be given: verbally – for example, a person saying they're happy to have an X-ray. in writing – for example, signing a consent form for surgery.

Health care providers must inform the patient prior to the initial delivery of telehealth services about the use of telehealth and obtain verbal or written consent from the patient for the use of telehealth as an acceptable mode of delivering health care services.

I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost.

Informed consent is a process of communication between you and your health care provider that often leads to agreement or permission for care, treatment, or services. Every patient has the right to get information and ask questions before procedures and treatments.

There are two types of consent for the purposes of confidentiality: express consent and implied consent.