Acerca de

Telehealth Informed Consent

During these times of COVID-19 pandemic, sessions are conducted remotely by telehealth. This is a specific Telehealth Informed Consent Form, adopted with thanks from the Australian Association of Psychologists Inc (AAPi)

By signing this consent form, I acknowledge and agree to the following.

I understand that the benefits of telehealth / video conferencing therapy sessions can include:

Continued access to my therapist during the COVID-19 pandemic
Continued therapeutic support as part of my treatment plan
Avoiding the need for me to travel to my therapist and which would increase the risk of exposure to myself and others

I understand that there are potential risks and downsides of telehealth / video conferencing therapy sessions, that can include:

Telehealth / video conferencing may not feel the same as face to face sessions
There could be technical problems that could affect the video / sound quality or connection, and this may disrupt the session
Although Professor Eisenbruch uses video conferencing software, which has end-to end encryption and high security standards, there is still a risk of hacking or others accessing the digital connection.

I understand that Professor Eisenbruch is taking the necessary precautions to ensure confidentiality including:

Ensuring the privacy of the telehealth session is upheld in the same way as would be with an in-person session, by choosing a private location or using headphones
Not allowing any voice or video recording of the session

For my part, I have an obligation to not breach the confidentiality of other patients. I will take all steps to ensure that, in attending group sessions, my environment is private and that no third parties will enter be able to hear other patients.

I have been informed of and understand the payment / Medicare processes for my telehealth session and consent to these.

I understand that I can ask questions about the telehealth session at any time.

Signed

Name

Date