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 Template

Medical Consent Form

Easily have patients complete your medical consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.
Telehealth Consent Form Template

Telehealth Consent Form

Collect telehealth consent forms online. Send your clients telehealth forms, give clients the ability to sign HIPAA compliant online forms with any device, anywhere.
cancellation-policy-

Cancellation Policy

Collect signed acknowledgements of the clinic cancellation policy online before the appointment. Informed patients provide better communication, which in turn reduces your clinic no-shows and late cancellations.
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.

Advance Beneficiary Notice of Noncoverage

Easily keep your patients informed, while fulfilling Medicare requirements by sending this form when you suspect an item may not be covered under Medicare. Keeping your patients informed empowers them with the information to make the best health and financial decisions.

Edinburgh Postnatal Depression Scale Form

Use this standardized screening checklist to identify postpartum depression symptoms and determine the severity of illness.
insurance form template icon

Insurance Form

Use the Insurance Form to gather all of the necessary pieces if information to contact, obtain pre-authorization, and bill patient insurance plans. Customization and required fields makes records complete the first time.

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.

Stripe Payment Processing

Quickly and efficiently collect patient payments using a PCI compliant payment processing widget with reporting capabilities and the easy customizations you expect from FormDr.

HIPAA Compliant Online Intake Form Packets

Intake Form Packets

Combine multiple pages into an online form packet. Have your patients fill out their medical history, consent to treat, and demographics all in one new patient intake form packet.

Export to PDF

Export Form Submissions to PDF

Quickly export complete patient forms to a PDF file. Save completed forms as a PDF to quickly attach patient records.

Sync HIPAA Compliant Appointments with Google Calendar

Sync Appointments with Google Calendar

Authenticate your Google Calendar to receive appointment dates and times from your account.

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