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depressionandanxietyrelief.com
by Haven Health & Wellness
Informed Consent For Telehealth Services
Effective Date: June 1, 2024
Welcome to depressionandanxietyrelief.com. This Informed Consent form explains the nature of our telehealth services, including benefits, risks, and your rights as a patient. Please read this document carefully before using our services.
What is Telehealth?
Telehealth allows you to receive medical and mental health care remotely via secure video, audio, or messaging platforms. It enables access to healthcare providers without needing an in-person visit.
Benefits of Telehealth
Convenient & Accessible – Receive care from your home or any private location.
Reduced Wait Times – Schedule appointments with minimal delay.
Safe & Confidential – Sessions are conducted through secure, HIPAA-compliant platforms.
Potential Risks of Telehealth
While telehealth is effective, there are some risks, including:
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Technology Limitations – Poor internet connections may disrupt communication.
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Limited Physical Examination – Some conditions may require in-person evaluation or additional tests.
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Data Security Risks – Although we use HIPAA-compliant platforms, no system is 100% secure.
Patient Responsibilities
By using our services, you agree to:
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Provide accurate and complete medical history.
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Ensure a private, distraction-free space for your consultation.
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Follow your provider’s medical advice and treatment plan.
Confidentiality & Privacy
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Your information is protected under HIPAA and other privacy laws.
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We will not share your data without your consent, except as required by law.
Telehealth Treatment Limitations
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DepressionandAnxietyRelief.com does NOT provide emergency services.
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If you experience a medical or mental health emergency, call 911 immediately.
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We do not prescribe controlled substances via telehealth.
Your Consent & Acknowledgment
By using our telehealth services, you confirm that:
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You understand the benefits and risks of telehealth.
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You agree to receive care through virtual consultations.
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You understand that you can withdraw consent at any time.
If you have any questions, please contact us at:
Haven Health & Wellness
2388 Main Street, Ste 100, Glastonbury, CT 06033