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Before using this form, be sure to at least read these articles (although some coursework or consultation on the related risk management issues would be most appropriate):

• Clients Have the Right to Receive Unencrypted Emails (and Texts) Under HIPAA
• Even Though They Have a Right Under HIPAA To Unencrypted Emails: A Case For Only Using Secure Email and Texting With Clients

There are nuances to using this, and those nuances are more deeply covered in our online CE courses here: Digital Confidentiality Course Series. We strongly recommend researching and learning about the issues surrounding use of email and texting before using these media with clients.
Get the Request For NonSecure Communications Form! ->

A set of checks you can add to your session documentation template for telemental health sessions. The use of this document is covered in our Telemental Health Certificate Program.

Get the Sample Telemental Health Session Documentation Form ->

Both emerging standards in the health care industry and the 2014 ACA Code of Ethics call for clinicians to disclose to clients when they keep records electronically and what security measures they use to protect electronic records. This sample form is meant to help you build a disclosure for your practice if you keep any records electronically.
Get the Sample Electronic Records Disclosure! ->

We always recommend clinicians have a Communications Policy that lays how and when to contact the clinician, as well as providing other information necessary to keep communications smooth and supportive of therapy work. Here is an annotated sample version of a Communications Policy:
Get the Sample Communications Policy! ->

This document is meant to assist therapists in discussing the risks of email and texting so that the client can make an informed decision about accepting, not accepting, or reducing the risks of these popular communications media.
Get the Email and Texting Risk Questionnaire! ->

This document was designed to help provide language and wording for informing clients about the automatic receipts that often get sent when clients use services like Square and PayPal to pay their bills. For more info, see “Use Square, Be HIPAA Compliant! Ethics, HIPAA… and What About PayPal?“
Get the Electronic Payment Communications Disclosure! ->

This worksheet was a part of the 2 CE hour presentation of Cross-Border Practice in the Age of Telehealth: Interstate and International Mental Health Practice, 2021 Edition. We recommend using the worksheet in conjunction with the presentation so you can make sure you’re using it correctly. 

Get the Legality and Permissibility to Practice Across Jurisdictions in the United States for Mental Health Clinicians worksheet

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