Online Therapy Consent Template

About this template

Whether you’re a therapist, psychiatrist, or psychologist — gathering a patient’s informed consent is a must. Our Online Therapy Consent template makes it easy to quickly and securely collect a patient’s consent in order to authorize online therapy treatment. Share your electronic consent form with patients via email, which they can then fill out and sign using any device. Once submitted, their finalized document is automatically sent back to you, which you can share and download as a PDF.

Obtaining informed consent involves more than a signature. For consent to be informed, you need to provide patients with all relevant information regarding their therapy. Jotform Sign allows you to fully customize this template to fit your practice’s specific needs. Drag and drop to add your practice’s branding, modify the text to define the treatment, explain possible benefits and risks, describe possible alternatives, and inform patients of their right to withdraw consent at any time. You can also upgrade to unlock HIPAA compliance features for your Online Therapy Consent form.

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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.