This Telehealth Consent summarizes key information about therapy delivered via secure video. This sample text is informational only; your clinician may provide an official consent form through the client portal. The official consent in the portal controls.
Telehealth sessions are delivered via secure video. We will discuss goals, risks, benefits, and alternatives. You may withdraw consent at any time.
Telehealth is not appropriate for emergencies. If you are in crisis, call 988 or your local emergency number.
Standard session fees apply. Insurance reimbursement may vary; please verify your benefits.
Note: Clients will be asked to sign the official Telehealth Consent in the client portal before starting services.