WRCAC Telemental Health Resource Center

Documentation

Telemental Health Documentation: 5 Things to Write Down This webpage, provided by Person Centered Tech, describes to readers the essential pieces of telemental health sessions that should be documented before providers proceed with their clients. The article goes over topics like secure spaces, identity confirmation, safety planning and how appropriate telemental health is for the client

Telebehavioral Health Institute (TBHI) Documentation Requirements for Psychologists This resource provides a list of the laws for 50 states when doing intake and progress and termination notes for psychologists. 

The Office of the National Coordinator for Health Information Technology: Health IT Playbook This site provides information on electronic health records for clinical documentation and care coordination for behavioral health providers. 

14 Essential Telemental Health Informed Consent Elements  This webinar provided by the Telebehavioral Health Institute reviews the in’s and out’s of the process of getting informed consent forms signed and returned in a secure and ethical manner. 

Telebehavioral Health Institute Informed Consent Library (TBI, 2017) PDF This document provides mental health professionals with a list of potential informed consent topics that would be relevant to their practice, that can be later discussed with a telehealth attorney and malpractice carrier for final development. 

Example Consent Forms

Child and Adolescent/Adult Behavioral Health Clinics Informed Consent for Telehealth Consultations (PDF)

10 Sample Informed Consent Resource Library Mobile Health: Devices and Apps PDF

13 Sample Informed Consent Resource Library: Video, Audio and Photography Recordings PDF

Telemedicine Program Satisfaction Survey-Patient: Real-Time Consultation (PDF) This survey developed by the Southwest Telehealth Resource Center can assist clinicians in developing documentation that will better their telemental health practice, and provide clients with the ability to give feedback on the services.