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Telehealth Psychotherapy Consent Form

Get consenting e-signatures online from your psychotherapy patients. Easy to customize. Generate PDFs automatically. HIPAA compliance option. No coding.

Page 1

Please read and complete the following form to indicate your consent to participate in telehealth psychotherapy sessions.

Email*

Patient Information*

Therapist Information*

Date of Consent*

Select date

Consent to Telehealth Psychotherapy*

I understand that telehealth psychotherapy sessions involve the use of electronic communications to enable remote healthcare services.

I understand that telehealth psychotherapy sessions may not be as secure as in-person sessions and that there are risks associated with electronic communication.

I understand that I have the right to withhold or withdraw my consent to telehealth psychotherapy at any time.

Consent to Recordings

I consent to the recording of telehealth psychotherapy sessions for treatment purposes.

I consent to the recording of telehealth psychotherapy sessions for training and supervision purposes.

I do not consent to the recording of telehealth psychotherapy sessions.

Description:Get e-signatures from psychotherapy patients with our Telehealth Psychotherapy Consent Form. Customize it easily and generate PDFs automatically. HIPAA compliance option available. No coding required.

Our Telehealth Psychotherapy Consent Form makes it easy to get e-signatures from your patients. This customizable form can be tailored to your specific needs and generates PDFs automatically. With our HIPAA compliance option, you can rest assured that your patients' information is secure. Plus, there's no need for any coding knowledge to use this form. Simply customize it to your liking and start collecting e-signatures from your psychotherapy patients today.

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Date of Birth*

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Grade Level*

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Date of Birth*

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Benefits of Telehealth Services*

Risks of Telehealth Services*

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