Telehealth Consent Form Template

Easily send and receive your fully customized telehealth consent form template online. Send clients your consent form to fill out on their phone, tablet, or computer. Clients securely sign and submit completed forms directly to your account. Track the progress of telehealth consent forms, send your forms along with automated reminders, and receive completed consent forms online.
Telehealth Consent Form Template

Telehealth Consent Form Template

Give clients the freedom to complete telehealth consent forms with any device, anywhere. Streamline the way you collect signatures and consent forms by setting up your form online. Easily personalize this telehealth consent form template with a HIPAA compliant form builder.

Build a telehealth consent form for free

Start saving time and money with FormDr

Why Online Telehealth Consent Forms?

Telehealth consent forms give clients information about the potential benefits, constraints, and risks (like privacy and security) of telehealth. 

The purpose of the telehealth consent form is to inform clients of their rights when receiving telehealth, including the right to stop or refuse treatment. 

Telehealth involves the use of electronic communications to enable healthcare providers at different locations to share individual client information for the purpose of improving client care. Providers may include primary care practitioners, specialists, and/or subspecialists. Inform your clients of what will happen in the case of technology or equipment failures during telehealth sessions, as well as state a contingency plan. Telehealth forms tell clients their own responsibilities when receiving telehealth treatment.

The telehealth consent form will often have a formal complaint or grievance process to resolve any potential ethical concerns or issues that might come up as a result of telecare, as well as describe the potential benefits, constraints, and risks (like privacy and security) of telehealth.

 

More Online Medical Forms

Streamline your medical forms online. Automate your paperwork. Start saving time and money.
phq9-teen-form-template

PHQ-9 Modified for Teens

Give your teen patients the freedom to complete the PHQ-9 from any device, anywhere. Ensure privacy and help keep teens safe by ensuring completion of this screening form before their clinic visit.
Medical Consent Form for Child Template

Medical Consent Form for Child

Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign HIPAA compliant online forms with their phone, tablet, or computer.
adhd-self-report-form-template

Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

Give patients the freedom to complete the adult ADHD self-report checklist at the most comfortable an convenient time, with a phone, tablet, or computer. Information is submitted securely and is ready for your review before the appointment.

Edinburgh Postnatal Depression Scale Form

Use this standardized screening checklist to identify postpartum depression symptoms and determine the severity of illness.
Patient Intake Form Template

Patient Intake Form

Easily have patients complete your patient intake forms online. Completed patient intake forms are submitted securely to your account, before the patient's appointment.
Medical Intake Form Template

Medical Intake Form

Easily have patients complete your medical intake forms online. Completed medical intake forms are submitted securely to your account, before the patient's appointment.
Medical Release Form Template

Medical Release Form

Turn your paper medical history forms into HIPAA compliant online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.
grief-evaluation-form-template

Grief Evaluation for Children & Teenagers (17 and Under)

Collect valuable information concerning your patient’s grief experience and daily life. Review this information prior to the appointment to guide the conversation.

Build a telehealth consent form for free

Start saving time and money with FormDr

Discover More Features

Setup HIPAA compliant online forms. Streamline your process of collecting information from patients.
HIPAA Compliant Form Builder

HIPAA Compliant Form Builder

Easily build HIPAA compliant online forms. No coding is required to create secure online intake forms for your patients. All patient form submissions are encrypted in transit and rest. A Business Associate Agreement is included with your service.

Email Invitation Forms

Email Invitations

Send an email invitation to your patients to complete your forms. Give patients the freedom to sign, complete, and submit forms with any device, anywhere.

Encrypted PHI

Encrypted PHI ePHI

All PHI is encrypted in transit and at rest—while being submitted back to your account and at rest in our database. Protect sensitive data with fully encrypted patient submissions.

Required HIPAA Compliant Form Fields

Required Form Fields

Always get the information you need with required fields. Patients can only submit when they complete all of your required fields. Never receive an incomplete medical form again.

Book a Free Consultation

Schedule a consultation with us to learn more

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms