Telehealth Informed Consent

What telehealth is

Telehealth includes live two-way video visits, secure messaging, e-prescribing, and electronic exchange of records between you and your clinician. It does not replace in-person care for every condition.

Expected benefits

• Access to a board-certified psychiatric clinician without travel.
• Faster scheduling and follow-up than typical brick-and-mortar practices.
• Continuity of care through secure messaging between visits.

Potential risks & limitations

• Technology failures may interrupt or delay a visit.
• Some conditions cannot be safely managed by telehealth and may require in-person care.
• Information transmitted electronically can in rare cases be intercepted despite encryption.
• Certain medications (especially some controlled substances) may not be prescribed remotely under federal or state law.

Emergencies

Telehealth is not for emergencies. If you are in crisis or thinking about harming yourself or others, call or text 988, call 911, or go to your nearest emergency room. We will collect an emergency contact and your physical address at each visit so that we can dispatch help if needed.

Your rights

• You may withdraw consent to telehealth at any time without affecting your right to future care.
• You may request a referral to an in-person provider.
• You have all the privacy protections described in our HIPAA Notice.
• You may request a copy of your visit summary and records.

Licensure & location

Telehealth services are provided only when both you and your clinician are physically located in a state where the clinician is licensed. You must tell us if you travel to a different state before a scheduled visit.

Consent

By scheduling and attending a telehealth visit with MindCare, you acknowledge that you have read this consent, understand the benefits and risks, and agree to receive care via telehealth.