Forms & Documents

Telehealth Session Checklist

A practical checklist for privacy, technology, location, and backup planning before a video visit.

Secure return

Open this document

Open the form to review it in your browser, print it, or download a copy when that option is available.

Return securely

How to return this private document

Client Portal availableUse the portal when the practice has asked you to return this document online.
Open Client Portal
  • Bring the completed form with you when you visit the practice.

Do not email this completed document. A completed copy may contain private client information, and this website does not accept completed paperwork.