A caring and supportive informed consent for your ONLINE, in-person, and even international therapy practice.  I crafted this document to help clients come into my practice feeling informed, cared for and safe while also covering the most conservative legal, ethical and telehealth best practices I could find. I know how long it took me to get an Informed Consent I felt truly good about. I hope this shortcut helps you get there faster, and helping your online clients sooner.

Includes:

• Risks and benefits of therapy, including risks and benefits of online therapy

• Orientation to how therapy works & online therapy specific tips and tricks for a great session

• Orientation to setting up the technology for an online session

• Telehealth best practice pieces (crisis statement and plan, verification of location of service, statement about therapist’s location and licensure)

• Confidentiality and its limitations (traditional practice and online therapy practice)

• Social Media Policy/Social Contacts

• International Clients

• Dual Relationships

• Rates, Billing and Payment & Other Professional Fees

• HIPAA compliant opt ins for non-HIPAA compliant communications (electronic communications, electronic payments, electronic invoicing)

• Contacting your clinician

• PHI statement & Related Opt-Ins

• Termination Process

• Litigation Limitations, Mediation and Arbitration Statements

*No Informed Consent Example is a one size fits all.  There can be idiosyncratic requirements in your state law or professional ethics.  You are responsible to amend this document to fit for your practice, and to amend where needed to be aligned with specific requirements of your state law, professional ethics or changing telehealth best practices.  It’s helpful to review ethics, law, and telehealth best practices regularly to amend as the field grows and changes.