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Telehealth Consent Form


Many states and payers require health care providers to obtain consent from their patients to receive services via telehealth. This customizable form is available free to Academy members and highlights telehealth services, benefits and risks, addresses patient’s rights related to telehealth services and includes a space for acknowledgement by the patient or an authorized representative.

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This content is for Academy members only.

Members of the Academy of Nutrition and Dietetics have full access to all content on eatrightPRO.org and discounted pricing on eatrightSTORE.org, along with many additional member benefits.