• Telehealth Consent Form

    Telehealth Consent Form

    Above All Odds
  • 1. I hereby authorize Above All Odds to use the telehealth practice platform for telecommunication for treatment services. 

    2. I understand that technical difficulties may occur before or during the telehealth sessions and my appointment cannot be started or ended as intended.

    3. I accept that the professionals can contact interactive sessions with video call; however, I am informed that the sessions can be conducted via regular voice communication if the technical requirements such as internet speed cannot be met.

     

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Clear
  • Should be Empty: