Telehealth consent form

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A telehealth consent form, like a traditional consent form, is required if you’re expanding your services to offer teletherapy. Before embarking on a telehealth practice though, it’s advisable to understand telehealth consent form requirements as they relate to location, technology and delivery. Understanding your responsibilities as a clinician both legally and ethically can protect you and your clients and help you to serve clients better. 

Location and the telehealth consent form

One of the great advantages of offering telehealth services is that you can expand beyond your immediate local service area. Which is great! But it raises a few questions. For example, did you know that in some states you have to be licensed to practice in BOTH the state you live in AND the state the client is in? It may also necessitate different requirements for your telehealth consent form. Check in with your state’s and your client’s state office of professions website or office to learn more.

Working with international clients can be a little precarious when it comes to telehealth consent forms as well. What if your new client lives in another country (say Canada or Mexico)? Does the licensure requirement still apply? What are the mental health laws in those countries regarding licensure and informed consent? Knowing your mental health law and responsibilities regarding informed consent is a win. (‘I don’t know’ likely won’t fly with a disciplinary board.)

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Technology and telehealth consent forms

When it comes to clients and telehealth consent forms, your forms should provide the necessary information for a client to make an informed decision about care. In fact, if you’re in practice already, you probably have a consent form and you might be thinking that you can use this standard informed consent. If it fully addresses telehealth, well …  then …  maybe. 

If your form doesn’t address telehealth, providers have an ethical (and maybe legal) obligation to make sure clients fully understand what therapy in a virtual setting is and is not.

The unique aspects of telehealth such as teletherapy or telemental health should be in your informed telehealth consent document including: 
  • the use of technology
  • protection of PHI and confidentiality
  • internet security
  • connectivity and more


With this in mind, some therapists make one big informed consent for in-office and telehealth to sign. Others have separate consents for in-person clients and telehealth clients. How you structure your consent is up to you, your board requirements and the best fit for your clients.

Telehealth consent form intake

When a client comes into an office to sign a standard form, it’s a pretty straightforward affair. They likely complete the form with a pen and hand it to you (or another person) on a clipboard. Their information is then entered in a contact list or client record. (With your best attempts at reading their illegible handwriting.)

A telehealth consent form works a little differently. Even if you have adapted your telehealth consent form for location and technology, you still need to send and receive it. (And, no, sorry, verbal consents are not an acceptable workaround.)

Some providers may turn to email, but most email services are not HIPAA compliant. Also, you’ll need to commit time to scanning and returning forms, and copying and filing those forms to a chart or EHR. 

Document signing services are also an option but some therapists find them a bit pricey for small practices. There’s still the time suck of navigating between platforms – telemental health, EHR, document signing, claims – that may not play well together. That is time you can never get back.

Start 30-day Free Trial and explore TheraPlatform. HIPAA Compliant Video and Practice Management Software for Therapists.

Another option for sending and receiving a telehealth consent form is using an all-in-one teletherapy, EHR and practice management tool that helps you manage your practice forms efficiently. Less time chasing paperwork means more time helping your clients. That’s a win for everyone.  

At the end of the day, you have to make sure that any consents you’re required to have are informative, accessible and signed by your client. You may never have to produce them but they are there for a reason and you can rest assured knowing your client is fully informed and that you are maintaining the highest standards for care in your practice.


TheraPlatform is one an all-in-one EHR, practice management and telehealth platform built specifically for therapists. They also offer a 30-day free trial with no credit card required. Cancel anytime.

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