Telepsychiatry Consent Policy

Introduction: Telepsychiatry, or therapy conducted remotely via video conferencing technology, offers individuals convenient access to mental health services. It is essential for both the provider and the client to understand the rights, responsibilities, and risks associated with telepsychiatry. This policy outlines the guidelines and procedures for engaging in telepsychiatry services with Psychvisit.

The Therapy Process: Therapy at Psychvisit is a collaborative process where the client and the Provider work together to achieve mutually defined goals. Clients have specific rights and responsibilities throughout the therapy process. It is imperative for clients to understand the therapy process fully before committing to telepsychiatry services.

Telepsychiatry Services: Telepsychiatry services at Psychvisit require clients to have access to an internet connection and a device with a camera for video conferencing. Clients will receive guidance on how to log in and use the telepsychiatry platform. In cases where telepsychiatry is not suitable, alternative options will be explored.

Risks and Benefits of Telepsychiatry: Clients should be aware of the risks and benefits associated with telepsychiatry. Risks include potential issues with privacy and confidentiality, technology-related challenges, and limitations in crisis management. However, telepsychiatry offers benefits such as flexibility and ease of access to therapy sessions.

Confidentiality: Psychvisit prioritizes client confidentiality and adheres to strict confidentiality protocols. Personal information will not be disclosed without client consent, except in certain circumstances outlined by law. Clients have the right to communicate securely with their Provider and are encouraged to discuss any concerns regarding confidentiality.

Record Keeping: Psychvisit maintains electronic health records to ensure the quality and continuity of care. These records are securely stored and accessible only to authorized personnel. Clients can rest assured that their personal information is protected according to industry standards.

Communication: Clients have various options for communicating with their Provider outside of therapy sessions. While texting and email are not secure methods of communication, secure communication channels are available upon request. Social media and review websites are not appropriate channels for communication with the Provider.

Fees and Payment for Services: Clients are responsible for payment of services rendered by Psychvisit. Fees, including late cancellation fees and administrative fees, are outlined in the fee agreement provided to clients. Payment methods accepted include credit or debit cards, and balances unpaid past 30 days may incur interest charges.

Complaints: Clients have the right to voice concerns or complaints regarding the services provided by Psychvisit. They may address concerns directly with their Provider, contact the licensing board, insurance company, or the US Department of Health and Human Services.

Consent and Acknowledgement: By signing below, clients acknowledge that they have reviewed and understood the telepsychiatry consent policy of Psychvisit. They affirm their acknowledgement of all policies outlined and authorize Psychvisit to utilize their payment methods on file for any balances owed.

Payment Method Authorization: Clients are required to provide a valid credit or debit card to be kept on file with Psychvisit. This card will be charged for services rendered and any applicable fees. Clients are responsible for keeping their payment information up to date.

Payment Policy: Psychvisit does not accept cash, checks, or money orders. Clients agree to the payment policy outlined by Psychvisit and understand that balances unpaid past 30 days may be subject to interest charges. Additionally, a fee will be charged for no-show or same-day cancellation appointments, with exceptions as outlined in the policy.

Revised-4/13/2024 Faisal Rafiq MD.