CONSENT FOR TELEMENTAL HEALTH AND COUNSELING
BHSN is committed to providing quality care to you in the most accessible manner possible. Our highest priority remains providing a safe work environment for our staff and the provision of safe, quality care for all clients through telephone, video and other innovative approaches to provide care whenever and however possible.
Telemental Health and Counseling services will be provided utilizing a dedicated, secure transmission meeting all federal, state and HIPAA requirements that ensure your privacy is protected. The session will be conducted with the same respect to your privacy as an in-office visit.
As part of our commitment to quality care, we will conduct ongoing quality reviews of telemental health and counseling services to identify potential risks or opportunities for improvement of the program.
By signing below, you consent to participate in our Telemental Health and Counseling as deemed appropriate by your provider.
BHSN Tele-Health Consent Form:
Need help guiding our Telemental Health and Counseling Consent Form?
Those interested in learning more about our Telemental Health and Counseling Consent Form should contact our customer service team.
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22 US Oval, Suite 218
Plattsburgh, NY 12903
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