Please follow these steps to to fill out the Telehealth Services Consent Form:

  1. Please click on the image to open up the Consent for Telehealth Services on your web browser. 
  2. When you see it open, look on top for the Download button and download it to your computer. 
  3. Click on the saved file on your computer so it will open up in PDF Reader.
  4. Fill out the information and make sure you Digitally sign it.
  5. Once you are done, save the document and email it to