Telehealth Consent Form
To ensure a safe, informed, and comfortable experience, we ask all clients participating in virtual sessions to complete this Telehealth Consent Form. At Ariza Wellness, we offer therapy and mental health services through secure, HIPAA-compliant video platforms. This form outlines your rights, responsibilities, and important details about how telehealth works, including privacy protections, emergency procedures, and technology requirements. By completing this form, you confirm your understanding of and agreement to receive care via telehealth. If you have any questions, our team is happy to assist you before your session.
🔒 Your information is kept private and secure in accordance with federal and state confidentiality laws.