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Price: $15.00
Format: Editable PDF | 1 Page
Description:
A simple, compliant one-pager every private practice needs.
The GBBS Telehealth Consent Form is designed for 2025’s Medicare and CMS rules—covering both video and audio-only visits. It’s clean, professional, and fully ready for use in therapy, psychiatry, or counseling practices.
Includes:
  • Clear telehealth overview and consent language
  • HIPAA-compliant acknowledgment of risks and limitations
  • Checkboxes for video, phone, or hybrid visits
  • Signature fields for client and provider
  • Fillable PDF format with GBBS branding
Perfect for:
Therapists, psychologists, and mental health practices who need a compliant, branded consent form without extra fluff.

Telehealth Consent Form (2025 Edition)

$15.00Price

  • © 2025 Golden Bee Billing Services, LLC
    All rights reserved. This document is an original work created by Golden Bee Billing Services, LLC and may not be copied, resold, or distributed without written permission.

    This template is intended for informational and administrative use only. It does not constitute legal advice and should be reviewed or customized to fit your individual practice policies and state regulations before use.

    Licensing Your purchase includes a single-use commercial license for use within one private practice. You may print, fill, and digitally store the form for client use within your practice, but redistribution, resale, or reproduction for others is not permitted.

    Pricing Note All prices listed in The Hive Shop include applicable taxes. No additional fees will be added at checkout.

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