CONSENT FOR TELEHEALTH

  1. DOWNLOAD AND READ THE CONSENT FOR TELEHEALTH CONSULTATION FORM

Click on the button below to review the consent form and download it if you wish to retain it for your records.

2. FILL OUT THE ACKNOWLEDGEMENT FORM BELOW

Please enter your full name, acknowledge consent by checking the box, and enter today's date and submit the form to verify your consent for Telehealth Consultation with Rosebrook Counseling Center