Welcome to TeleHealthNOW.md
Making TeleHealth Work!
Support : (510) 201-0190
This form describes the telehealth treatment and payment policies of Forefront Telecare, Inc. and its affiliated professional corporations (hereinafter “Forefront”) and includes:
If I am signing on behalf of a minor, incapacitated or otherwise legally dependent patient, I certify that I am a person with legal authority to act on behalf of the patient, including the authority to consent to medical services, and I accept financial responsibility for services rendered.
Forefront will protect the privacy of my health information and will not use or disclose it except as permitted by law. Forefront’s privacy policies are more fully described in the Privacy Notice, which is available for review and download at https://forefronttelecare.com/notice-of-privacy-practices/. By signing this Consent, I acknowledge receipt of the Privacy Notice and consent to Forefront’s use and disclosure of my health information in accordance with its terms. I understand that all existing confidentiality protections that apply to in-person treatment apply to telehealth services.
I acknowledge, understand and agree that:
To Our Patients:
Thank you for allowing us to be part of your treatment team. In addition to providing the highest quality of care, we want you to be informed fully regarding our how we deliver evidence-based psychiatric and counseling services to you, about confidentiality and its limitations, and about our financial arrangements with you. If you have any questions or concerns about any of this information, please phone us at 866-959-2008.
Telepsychiatry is the use of technology – real time audio-visual conferencing and related electronic health records and electronic prescribing of medications when appropriate, to support convenient and timely delivery of evidence-based mental health services to patients, and coordination of mental health care with other medical services you receive, such as those provided by your primary care team.
The counseling and medication treatments delivered by means of telepsychiatry are no different from those delivered when a patient goes into a mental health practitioners’ office for an appointment. Your interaction with your Forefront psychiatrist or therapist takes place in real time, both you and the clinician see and hear each other and have a two-way dialogue.
Telepsychiatry appointment length is the same as for in person services and the “flow” of appointment is the same as well. Abundant research documents that telepsychiatry services are equivalent in terms of satisfactoriness and effectiveness as are in person services. You will see the same, single psychiatrist or therapist throughout the course of your treatment.
Your participation in Telepsychiatry services is completely voluntary and at your discretion. You have the right to decline participation if you wish. You have the right to decline services by telemedicine technology and request re-referral to a local provider by your clinic team. You should feel free to ask any questions or express any concerns you might have about this mode of treatment – either to your clinic team or your Forefront clinician