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Informed Consent for Telehealth Services
I (the client and/or legal guardian) have read and understand the information provided above regarding telehealth, have discussed it with my counselor, and all of my questions have been answered to my
I have read this document carefully and understand the risks and benefits related to the use of telehealth services and have had my questions regarding the procedure explained. I hereby give my informed consent to participate in the use of telehealth services for treatment under the terms described herein.
By my written or electronic signature below, I hereby state that I have read, understood, and agree to the terms of this document.