A telehealth service is a therapy service that is conducted via the telephone or secure video platform, such
as ZOOM, Google Meet, Teams, Skype or FaceTime. The purpose of the session may include but is not
limited to counselling, assessment, supportive intervention and onward referral.
Instructions
Please read this form carefully in order to provide your informed consent for undertaking telehealth
consultations with Voices of Hope Counselling. If you have any questions, please discuss them with
Yeou-Ling Wen psychotherapist prior to the session.
Telehealth Consultation Consent
1. I understand that there are laws that protect my privacy, and the confidentiality of my personal
information apply to telehealth sessions.
2. I understand that my practitioner has chosen a telehealth software platform which meets the
recommended standards to protect the privacy and security of the consultation.
3. I understand that there are potential risks and consequences of participating in telehealth
consultations, including technical difficulties such as internet connection limits.
4. I understand that telehealth consultations will not be exactly the same as a direct visit due to the
fact that I will not be in the same room as my healthcare provider.
5. I agree that neither myself nor my practitioner will record the sessions.
6. I understand that telehealth consultations do not provide emergency services. If I am experiencing an emergency, I understand that I can call 000 or Lifeline (13 11 14) for crisis and suicide support.
