Informed Consent

Informed Consent for Telehealth Services

* All fields are required
I have reviewed the following documents available at needed to knowingly, and with informed consent, engage in telehealth services with Dr Nadine Pelling.
(Please note: Additional limitations to confidentiality exist regarding mandatory notification related issues for members of a profession governed by AHPRA)
Furthermore, I understand the following:
After having reviewed the above information and by clicking 'submit' as follows, I agree to meet with Clinician: Nadine Pelling Using telehealth videoconferencing or phone contact. I can discuss/ask questions about any of the before mentioned items at any time.
An email copy of your 'Client Informed Consent' will be sent to Nadine Pelling.