INFORMED CONSENT

or 
Please fill the form below

Patient Consent to Telepsychiatry:

Having reviewed and understood the information provided, and after discussing it with my psychiatrist, I hereby give my informed consent for the use of telepsychiatry in my medical care.

Welcome to our Telepsychiatry Services

At our practice, we offer telepsychiatry, a branch of telemedicine that facilitates psychiatric care through audio-video interfaces, such as videoconferencing. Our electronic systems are equipped with robust network and software security measures to ensure the confidentiality and integrity of patient data.

Benefits of Telepsychiatry

  1. Enhanced accessibility to psychiatric care, allowing patients to receive treatment from the comfort of their homes or offices.
  2. Streamlined psychiatric evaluation and management processes.
  3. Access to expertise from specialists located remotely.

As with any medical procedure, there are potential risks associated with telepsychiatry, including:

  1. Insufficient information transmission in rare cases, which may hinder medical decision-making.
  2. Possible delays in evaluation and treatment due to equipment deficiencies.
  3. Rare instances of security protocol failures leading to privacy breaches.
  4. Occasional lack of access to complete medical records, potentially resulting in medical errors.

Potential Risks:

By consenting to telepsychiatry, you acknowledge:

  1. The application of laws protecting the privacy and confidentiality of medical information in telepsychiatry.
  2. Your right to withdraw consent to telepsychiatry at any time without affecting future care.
  3. Your right to inspect and obtain copies of information obtained during telepsychiatry sessions.
  4. The availability of alternative methods of psychiatric care.
  5. Your responsibility to inform your psychiatrist of other healthcare providers involved in your care.
  6. The potential benefits of telepsychiatry, with no guaranteed outcomes.

Email Us

info@restorative-psych.com

Visit Us

1017 S Gilbert Rd
suite 213 , Mesa, AZ,85204

1145 Bordentown Ave,
Suite 18, Parlin, NJ, 08859

Call Us

NJ Main Office 848-309-9360

AZ Main Office 480-853-9709

Administrative Assistant 908-627-0377

Opening Hours

Mon- Fri
08.30 a.m - 05.00 p.m
INCLUDED emergencies are also welcome outside office hours

Weekends By Appointment
However Sunday remains CLOSED unless for EMERGENCY APPOINTMENT

Copyright© Restorative-Psych 2024| Deigned by CarlteQ

Visit Us

1017 S Gilbert Rd
suite 213 , Mesa, AZ,85204

1145 Bordentown Ave,
Suite 18, Parlin, NJ, 08859