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.

Streamline patient forms and engagement

Collect forms. Engage patients. Automate follow-up.

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.

 

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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.

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Easily comply with the HIPAA Privacy Rule by providing your patients with an electronic privacy notice to read and complete before the initial visit. The notice can be read when convenient, signed and then returned for an informed, efficient clinic visit.
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Streamline patient forms and engagement

Collect forms. Engage patients. Automate follow-up.

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

HIPAA Compliant File Upload

File Attachment Upload

With file upload fields, your patients can upload their prescriptions, x-rays, medical records, insurance card photos and more with their form submission.

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Centralized Team Management

Create administrative accounts by department, location, or clinic. Filter and segment your organization by setting up additional administrative users.

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Embed Forms on Website

Embed your forms directly on your website for a seamless experience for your patients. Your forms are customized with your logo, brand, and styling to match your site. Embed on Wordpress, Wix, Squarespace, and many more.

Book a Free Demo

Schedule a demo to see how FormDoctor can streamline patient forms and automate engagement.

FormDoctor gives your practice one HIPAA-compliant platform to collect forms, communicate with patients, and automate follow-up. We help practices who:

  • Are still using paper forms, PDFs, or Word documents
  • Spend too much time printing, scanning, emailing, and calling patients
  • Need an easier way to send reminders and automate follow-ups
  • Want to streamline forms, communication, and paper workflows