Telehealth Informed Consent

Last Updated: [TODO: ATTORNEY — date of attorney-approved version]
Effective: [TODO: ATTORNEY]

Telehealth informed consent

[TODO: ATTORNEY — Telehealth consent requirements vary by state. Some states require specific language, signature requirements, and disclosures. Attorney must draft state-by-state compliant consent.]

1. What is telehealth

[TODO: ATTORNEY]

2. Nature of services provided

[TODO: ATTORNEY]

3. Limitations of telehealth

[TODO: ATTORNEY]

4. Risks and benefits

[TODO: ATTORNEY]

5. Confidentiality

[TODO: ATTORNEY]

6. Emergency situations

[TODO: ATTORNEY]

7. Your rights

[TODO: ATTORNEY]

8. Consent statement

[TODO: ATTORNEY] — Patient must affirmatively consent (checkbox or signature) before first physician consultation.