Telehealth Patient Consent Form
A telehealth patient consent form gathers informed consent from patients understanding and agreeing to receiving medical treatment virtually. If your healthcare organization offers virtual care, this Telehealth Patient Consent Form will make it easy for physicians to obtain electronic signatures from patients before proceeding with treatment. Simply customize the form to meet your needs and share the form with patients to fill out before their e-visits. You’ll instantly receive submissions in your secure Jotform account, protected by HIPAA-friendly features after a plan upgrade.
Customizing your Telehealth Patient Consent Form only takes a few clicks with our drag-and-drop Form Builder. Without any coding, you can add form fields, edit the terms and conditions, change the template design, and integrate with 100+ apps to sync submissions to the tools you already rely on. You can even make your form accessible to patients with disabilities. With your online Telehealth Patient Consent Form, patients can easily read the details of their medical treatment plan, enter their personal information, and provide their electronic signature to agree to your telehealth services.
These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.
These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.
