HIPAA-Compliant Telehealth Consent Form

A telehealth consent form documents that a patient agrees to receive care remotely – by video, phone, or a secure messaging platform – before their first virtual visit. It typically covers the limits of remote diagnosis, privacy risks specific to virtual care, technology requirements, and the patient’s right to switch to an in-person visit at any time.

Build your telehealth consent form with HIPAAtizer or use our pre-built template to get started. The data is encrypted, a signed Business Associate Agreement (BAA) is included, and patients can complete and e-sign the form on any device before their appointment starts.

Patient using a tablet during a virtual telehealth appointment.

Your Virtual Practice Starts with a Branded Consent Form

No website. No problem. Need a HIPAA-Compliant telehealth consent form that’s clickable straight from an Instagram or Facebook campaign? HIPAAtizer generates a secure, clickable link you can text or email to prospective patients – you don’t need a website to start seeing patients online.


We’ve got you covered, whether you’re starting from scratch or already have a PDF.

Telehealth consent forms are displayed on desktop and tablet screens, utilizing responsive design for online healthcare forms.

With HIPAAtizer, you can launch your telehealth or telemedicine services today

Embed your HIPAA-Compliant consent form directly in your SMM campaigns or SMM Profiles.

Upload your Telehealth Consent. Our AI converts it to a HIPAA-Compliant online form in minutes.

Share your form via link or embed it on any website

HIPAAtizer’s got you covered for all your form needs with Telehealth Intake Forms and  e-payment options

You don’t even need a website to start seeing patients online.

Add ePayment to Your Telehealth Consent Form

Accept secure payments before the virtual visit starts.

How to Launch Your Telehealth Services Fast

Upload your Telehealth Consent (PDF or Word). Our AI converts it to a HIPAA-Compliant form in minutes. Free!

Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.
Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.

Don’t have one? Choose a ready-to-use template and add your logo

Customize the form with e-signatures, conditional logic, or intake sections

Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.
Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.

Publish it via website embed or secure link

Add the secure link to your SMM campaigns and social profile pages

Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.
Visual steps showing how to create a telehealth consent form in HIPAAtizer, customize branding, and share it via website embed or social media campaign.

Get submissions and get paid – and stay HIPAA Compliant

Start with a free test form. No credit card required

Learn more about How to setup Telehealth for Agencies and Developers

Features Built for Telehealth visits

E-Signature. Add e-signature element

Secure e-payments. Stripe, PayPal, or Square

Internal-Only Fields. For staff notes, vitals, and follow-up details

Form Packets. Link intake + consent + payment in one packet

HIPAA-Compliant Hosting + BAA Included

What Our Doctors Say

Rated 5 out of 5 stars

I thought I couldn’t launch my telehealth practice until I had a website.  HIPAAtizer’s forms and HIPAA-secure links helped me launch right away

M.D., Texas

July, 2023

FAQs

What is the difference between Telehealth and Telemedicine?

Telehealth refers to a broad range of digital health services, including education, triage, and monitoring.
Telemedicine is direct patient care delivered remotely, such as virtual consultations.