Telemedicine/Technology Assisted Counseling Consent Agreement Sample Contracts

Telemedicine/Technology Assisted Counseling (TAC)
Telemedicine/Technology Assisted Counseling Consent Agreement • September 10th, 2021

This form is in addition to the regular ACC Consent for Treatment and Notice of Privacy Practices for Protected Health Information, commonly known as HIPAA. You must sign both in order to participate in TAC sessions. TAC incorporates email, phone and video counseling. This is to inform you about what you can expect regarding your participation in TAC counseling.

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