TELEHEALTH INFORMED CONSENT

I understand that I will participate in a free telehealth consultation with Ryan Baker-Barrett, MS, BCBA, of Applied Behavioral Health Practice.
This means that through an interactive video connection, I will be able to consult with the above-named provider about concerns for myself or my dependent minor child. My provider uses a HIPAA-compliant version of Microsoft Teams or Get Healthie, and I understand there are potential risks with this technology:
The video connection may not work or it may stop working during the consultation. The video picture or information transmitted may not be clear enough to be useful for the consultation. If I am not in a private location, others may overhear or observe information about my health and wellness or the health and wellness of my dependent minor child.
The benefits of a telehealth consultation are:
I do not need to travel to the consult location. I have access to a specialist through this consultation. Please be advised that this free consultation is for informational purposes only. It does not constitute medical or clinical advice. I am not providing professional services, and no client-professional relationship exists or is being established through this free consultation. Any information discussed should not be interpreted as a substitute for advice from a licensed professional in the relevant field. I am not responsible for any actions taken or decisions made based on the information provided during this consultation. You are solely responsible for seeking appropriate professional advice for your specific situation.
I have read this document and understand the risk and benefits of the telehealth consultation and have had my questions regarding the procedure explained. By joining the telehealth consultation, I hereby consent to participate in telehealth sessions under the conditions described in this document.