Back to blog

7
Min read
•
Mar 31, 2026
Telehealth lets clients get therapy from anywhere, but it also brings new responsibilities. Having a clear consent form keeps things safe and professional for both you and your clients. A telehealth consent form template makes it simple to cover technology and other session rules.
In this guide, we discuss what to include, legal points, tips to make it simple, and share a template you can use as a starting point.
Key Takeaways
Evidence suggests clear telehealth consent supports better outcomes: Clients who understand session structure and privacy are more comfortable and engaged in virtual care.
Document telehealth consent thoroughly: Include service details, client response, risks, and emergency plans to maintain clear and complete records.
Develop your telehealth competency: Ongoing learning and tools like Berries AI help you manage documentation faster and improve your virtual practice skills.
Legal and Ethical Requirements for Telehealth Consent
Before starting teletherapy, clinicians need to make sure clients understand how online sessions work. This includes discussing technology, privacy, communication rules, and what to do in an emergency.
A telehealth consent form template will make virtual care safer for both the client and therapist. But you should also be aware of all the legal and ethical requirements of this consent.
Why Consent Is Needed
Consent is not a formality. It lets clients know what to expect from telehealth sessions and gives them a chance to ask questions. Consent is needed because discussing it openly builds trust and sets boundaries, which is especially important when therapy is delivered online.
For example, a client may worry about using video calls in a shared home. Discussing consent gives the therapist a chance to explain privacy options, like using headphones or a private room, so the client feels safe and confident during sessions.
Ethical Guidelines to Follow
Telehealth practice is guided by professional ethics. For instance, the ACA Code of Ethics has given specific guidelines that every therapist should follow:
Avoid abandoning clients or leaving them without support
Explain the limits of confidentiality in online sessions
Discuss risks, benefits, and alternatives, including online therapy consent
Provide instructions for emergencies and crisis situations
Keep a clear, documented record of consent
Following these guidelines will help you provide safe, ethical care while protecting yourself from misunderstandings.
Legal Considerations
Telehealth laws differ from state to state. Therapists must follow the rules where both they and their clients are located. This includes licensing requirements and any state-specific telehealth regulations.
For example, if a therapist licensed in New York is seeing a client who lives in New Jersey, they must check whether their license allows therapy across state lines. According to the American Telemedicine Association, around 32 states require providers to hold an active license in the client’s state for telehealth services.
It is also important to make sure the telehealth platform meets privacy and security standards, like HIPAA compliance. Documenting the client’s location and the steps you have taken to follow local laws adds an extra layer of protection.
You can use Berries AI, which is HIPAA compliant and can help you reduce documentation time from 30 minutes to 2-3 minutes per session.
Essential Elements of Telehealth Informed Consent
Creating a thorough telehealth consent form template is important for every client. It helps clients know what to expect from sessions and protects the therapist from misunderstandings.
A well-prepared consent form also makes your intake appointment better as it sets clear expectations from the start.
Service Description and Scope
Explain what your telehealth sessions include and what they do not. Clients should:
know the types of services offered
session length
frequency of sessions
communication methods
any limits of online therapy
This section of the telehealth consent form template sets the stage for a clear agreement between you and the client.
Technology and Privacy
Clients need to know how sessions are conducted and how their information is protected. Mention the video platform, email, or chat tools used, and explain that the sessions are secure and HIPAA-compliant. Also, include what happens if technology fails during a session.
Client Rights and Responsibilities
Clients should understand their responsibilities, such as showing up on time and reporting any technical issues. This section also explains their rights, including confidentiality, the ability to ask questions, how to cancel their appointment, and reschedule any sessions.
Emergency and Crisis Planning
Explain what clients should do in case of an emergency. Include local resources or hotlines they can contact if they need immediate help. This is an important part of a virtual counseling consent form to keep clients safe.
Risks, Benefits, and Alternatives
Clients should know the potential benefits of online therapy, like flexibility, as well as any risks, such as technology interruptions or limits in handling emergencies. Also, explain alternatives to telehealth sessions.
Using a proper telehealth consent form template here will help clients have a clear and proper understanding of what is required from them and what rights they themselves have.
Template Language for Each Consent Section
Before sending a consent form to a client, you should have an idea of what language is required for such a telehealth consent form template. This makes it easier to explain the rules of telehealth and keeps both clients and therapists on the same page.
Service and Scope Language
The language in this section should describe services in plain terms. Avoid long sentences. Focus on explaining what the client will receive, session length, frequency, and any limits. Using short, direct sentences helps clients quickly grasp the scope of therapy.
Client Rights and Technology Language
Here, the language should clearly outline client responsibilities and how the technology will be used. Use legal words, but make sure that everything is easy to understand. For example:
Explain privacy in simple terms
Tell clients how to access sessions safely
Describe what clients can do if problems occur
Let clients know they can ask questions anytime
This portion of the teletherapy consent form should make clients feel empowered while understanding their role in online sessions.
Risks, Benefits, and Emergency Instructions Language
The language here should be transparent and reassuring. Discuss benefits and risks using simple words. Avoid overcomplicated legal terms. Include clear action steps for emergencies and alternatives.
You can use a telehealth consent form template to keep the language legal, but balanced and easy to understand.
Telehealth Informed Consent Template Sample You Can Use
This is just a basic sample for your understanding. Your telehealth consent template will be based on your specific detailed services and proper legal terms as well.
Client Name: ________________
Date: ________________
1. Service Overview
I understand that I will receive therapy through telehealth, which may include video calls, phone calls, or secure messaging. Sessions are expected to last approximately ______ minutes.
(You can include your specific services in bullet points with all the details)
I understand the services do not include emergency care or crisis intervention outside scheduled sessions.
Client Initials: _________
2. Technology and Privacy
I agree to use a private space during sessions and to use the agreed-upon secure platform. I understand that while the therapist uses HIPAA-compliant technology, there is still a small risk of confidentiality breach.
Client Initials: ______
3. Client Rights and Responsibilities
I understand my rights and responsibilities, including:
I can ask questions about my therapy at any time
I will follow guidelines for using the technology safely
I may pause, reschedule, or cancel sessions as needed
I should report any technical issues immediately
Client Initials: ______
4. Risks, Benefits, and Alternatives
I understand the benefits of telehealth, including flexibility and convenience, and the possible limitations, such as technical interruptions or delays in emergencies.
I understand that I may choose in-person therapy or other treatment options instead of telehealth.
Client Initials: ______
5. Emergency Plan
I understand what to do in case of an emergency: call 911 or contact the local crisis hotline at ______. I understand the therapist may not be able to respond immediately in an emergency.
Client Initials: ______
Client Signature: ________________________
Therapist Signature: _______________________
Implementation and Documentation Best Practices
Once your consent form is ready, the next step is using it in a proper way. A telehealth consent form template helps you cover all important points without forgetting anything. It also saves time when you are working with multiple clients.
How to Use the Consent Form in Practice
Introduce the consent form early, usually during the intake appointment. Go through it with the client instead of just sending it to sign. This helps them understand each part and ask questions if something is unclear.
After that, collect signatures and store the form safely. Digital tools can make this easier and reduce paperwork. A telehealth consent form template also makes your process more organized and easier to follow.
What to Document and Keep on Record
Good documentation is important for both clinical and legal reasons. Make sure you write down important details clearly:
Date when consent was explained and signed
Questions or concerns raised by the client
Any changes made to the form
Confirmation that the client understood the information
Updates if services or telehealth rules change
Making Documentation Faster and Easier
Documentation can take a lot of time in telehealth work. Berries AI can help you record consent discussions quickly and keep notes in one place. This reduces writing time while still keeping your records complete.
Using a telehealth consent form template along with simple tools can make daily tasks easier and less stressful.
Conclusion
Now that you know how to create and use a telehealth consent form template, you can make your sessions clearer and safer for clients. A simple, well-written consent form builds trust and avoids confusion later.
Take a few minutes to review your current form and update it where needed. Try Berries AI for free and reduce your workload.
FAQs
How long should a telehealth consent discussion take?
Most consent discussions take about 10 to 15 minutes during the intake appointment. This depends on how many questions the client has and how detailed your form is. Taking a few extra minutes will help you and the client avoid any confusion later on.
What should I do if a client refuses to sign the consent form?
You should not start telehealth sessions without proper consent. Try to understand their concerns and explain the form in simple terms. If they still refuse, discuss other options like in-person sessions or referrals.
How do I handle telehealth consent for clients in another state?
Check the rules for both your state and the client’s state before starting sessions. Some places require additional permissions or licenses. Always document the client’s location and your compliance steps.
Do I need to update consent for ongoing clients?
Yes, if there are changes in your services, platform, or telehealth rules, you should review and update consent. It is also good practice to revisit it from time to time to keep everything clear.
Disclaimer:
This article is for educational purposes and professional development only. It does not constitute clinical supervision or replace professional judgment in therapeutic practice.