Telehealth Consent Form

MNT Business Tools

Use this customizable template to create a Telehealth Consent Form for your practice.

  • Release Date: June 2, 2021
  • SKU NSC111-I
Member Price
$0.00
Nonmember Price
$10.00

Many states and payers require health care providers to obtain consent from their patients to receive services via telehealth. This customizable form describes telehealth services, the benefits and risks, addresses patient's rights related to telehealth services and includes a space for acknowledgement by the patient or an authorized representative.

PDF

Please note: Please confirm all purchases before you complete them as all sales of this product are final. Upon completion of your order, a link to access your purchase will be sent to the email address you have on file with the Academy. Please be sure your email address is accurate before submitting your order. If you have difficulty with your purchase, please contact sales@eatright.org. Thank you.

  • Release Date: June 2, 2021
  • SKU NSC111-I