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TeleconsentNEW

Capture consent without leaving the call.

Load a standard or custom consent form before or during a visit and capture a legally sound electronic signature on the spot. No printing, no scanning.

BAA included No download required

Therapy Telehealth Consent

All fields complete
Please read carefully and sign.
Signing as:
Myself (the patient)

By signing below, I agree to the terms of this consent form and want to use telehealth therapy.

REQUIRED SIGNATURE
Draw Type
×Jerry C. Jones
Encrypted · IP & timestamp captured on signing
How it works

Teleconsent in three steps

1

Load a form

Choose a standard consent form or one you built yourself.

2

Client reviews & signs

They read and sign electronically, right in the session.

3

Done in the moment

Consent is captured on the spot, no paperwork to chase.

Why it helps

Built to make your day easier

E-signature

Capture a legally sound signature in session.

Standard or custom

Use ready-made forms or build your own.

Before or during

Send ahead of time or handle it live.

Form Builder

Design consent documents to fit your practice.

Built-in consent forms

Five system forms, ready to use

Every account comes with five built-in consent forms covering the most common telehealth scenarios. Enable the ones you need, preview them any time, and turn on staff access from a single settings screen.

  • Consent to Specified Document
  • HIPAA Privacy Notice & Consent
  • Informed Consent for Treatment
  • Minor Patient Telehealth Consent
  • Therapy Telehealth Consent

System forms are general templates. Clinic admins and staff are responsible for verifying compliance with applicable state laws before use.

TELECONSENT

Teleconsent Forms

Activate featureCurrently on Allow staff accessCurrently on

Manage consent forms that clients review and sign before or during a video session. Five built-in forms are included, and you can create unlimited custom forms using HIPAA LINK's Form Builder.

System forms
Search forms…+ New Form
All 11Custom 6System 5Disabled 5
Consent to Specified DocumentSYSTEM EnabledRead-only
HIPAA Privacy Notice & ConsentSYSTEM EnabledRead-only
Informed Consent for TreatmentSYSTEM EnabledRead-only
Minor Patient Telehealth ConsentSYSTEM EnabledRead-only
Therapy Telehealth ConsentSYSTEM EnabledRead-only
Need help converting your existing forms?Request Form Review
Form Conversion Request
Form Conversion Request

Upload your original forms and our team will personally review them to confirm they can be converted into Teleconsent-compatible documents. Conversion is $50 per form, but no work begins and no payment is collected unless you approve moving forward.

Click or drag files here
PDF, DOC, DOCX, JPG, PNG, TXT — 25 MB max per file
Describe your forms or add any questions for our team…
CancelSend
Request form review

Bring your own forms, we will convert them

Already have consent forms your clinic depends on? Our team will personally review and convert them into Teleconsent-compatible documents for $50 per form. Upload your originals, and nothing is charged until you approve the recommendations and next steps we send back.

  • Upload PDF, DOC, DOCX, JPG, PNG, or TXT
  • Personally reviewed by HIPAA LINK support
  • $50 per form, only after you approve
Signing, live in session

Guide clients through signing, your way

Launch a form for a client to read and sign right in the session. Choose how you move through it together, and clients sign by drawing or typing their name.

Three signing modes

Self-Paced, Guided, or Follow

You decide how the document moves. Every mode keeps both sides in sync so no one loses their place while reviewing consent.

  • Self-Paced lets the host and client each scroll on their own
  • Guided gives the host control, and the client's view scrolls to match
  • Follow lets the client lead while the host's view follows along
  • Clients sign by drawing or typing their name
  • IP address and timestamp captured at signing
MODE Self-Paced Guided Follow

Therapy Telehealth Consent

Client View All fields complete
Please read carefully and sign.
Your Rights Confidentiality Emergency Cost Signature
Signing as:
Myself (the patient)

By signing below, I agree to the terms of this consent form and want to use telehealth therapy.

REQUIRED SIGNATUREHost view — locked
Draw Type
×Jerry C. Jones
Encrypted · IP & timestamp captured on signing

Consent received

Download the completed consent form for your records.
For privacy and security, HIPAA LINK does not store copies of completed forms after submission. Please save your copy before leaving this page.
Download PDF
Signed 7/8/2026, 1:53:08 PM · IP 68.226.108.211
Client has not downloaded the form.
Finalized sessions

A signed copy for everyone, stored by no one

When a form is finalized, both the host and client can download a completed copy, stamped with the signing date, time, and the signer's IP address. HIPAA LINK does not keep a copy after submission, so the record stays in your hands.

  • Host and client each download the completed PDF
  • Timestamp and client IP captured on the signed form
  • No copy retained after submission, nothing stored here
Create a new form

Start from scratch or a system template

Clicking New Form lets an admin build from a blank canvas, or start from any system form as an editable template to modify in the Form Builder.

Blank form

Start from scratch. You will get an empty canvas with just the form-wide settings.

Empty

Therapy Telehealth Consent

Standard consent for therapy sessions delivered over telehealth. Covers risks, confidentiality, and emergency protocols.

System template · 25 blocks

Informed Consent for Treatment

General informed consent acknowledging the proposed treatment plan, alternatives, and known risks.

System template · 50 blocks

Consent to Specified Document

Flexible acknowledgement form. Drop in any clinic document and capture a patient signature with audit trail.

System template · 26 blocks

Minor Patient Telehealth Consent

Telehealth consent for patients under 18, with parent or guardian fields and an additional guardian signature block.

System template · 33 blocks

HIPAA Privacy Notice & Consent

Notice of Privacy Practices acknowledgement covering PHI handling, patient rights, and disclosure consent.

System template · 27 blocks

Templates create an editable copy.

HIPAA LINK Form Builder

A full drag-and-drop form builder

Build any consent form, intake, or assessment block by block. Drag components onto the canvas, arrange sections, and preview on desktop, tablet, and mobile as you go.

Dr. Sample Provider, LCSW

Informed Consent for Treatment

Please read carefully and sign.
1 Patient Info2 Your Therapist3 What Is Therapy?4 Treatment Goals
This form explains the types of therapy and behavioral health treatment available through Dr. Sample Provider, LCSW, including potential benefits and risks. Please read carefully and ask questions before signing.
First Name *
First name
Last Name *
Last name
Date of Birth *
Month / Day / Year
Content
Paragraph
Header
Callout
Image
Personal Information
First Name
Date of Birth
Email
Phone
Selection & Scale
Dropdown
Radio
Stars
Emoji
Signing
Signature
Initials
Explore the Form Builder

Try Teleconsent free for 14 days

Use the whole platform free for 14 days. No credit card required, and keep a free account after.

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HIPAA and GDPR compliant · BAA included
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