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Telehealth Services Informed Consent Samples

Job Aid
Health Information Technology

Title X agencies that provide telehealth services may need to obtain signed informed consent for those services. Informed consent may include an explanation of telehealth, the potential benefits and risks, and the security measures an agency is taking to ensure confidentiality. This job aid provides two examples of telehealth-specific informed consent, which Title X agency staff can customize with agency-specific information.