Legal
Telehealth Consent
Consent for receiving mental health services via telehealth.
Last Updated: January 13, 2025
Service Areas
In-person care is available in Dallas, Texas. Telehealth is available to clients physically located in Texas, Florida, and Oklahoma at the time of session.
Telehealth Consent Agreement
By receiving services via telehealth, you acknowledge and agree that:
- Telehealth involves electronic transmission of your health information and may include video, audio, and/or data communications.
- The potential benefits include improved access to care; the potential risks include rare technology failures or interruptions.
- You may withdraw consent and request in-person alternatives (where available) at any time without affecting your right to future care.
- You will confirm your physical location at the start of each session. Services are provided only where your clinician is licensed and you are physically present.
- Standard HIPAA privacy and security protections apply. See our HIPAA Notice.
- In case of an emergency, call 911 or go to the nearest emergency room. Telehealth is not for crises.
Questions about telehealth?
Contact care@pothoshealth.com.
Last Updated: January 13, 2025
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