Telehealth/Telemedicine Consent

1. I hereby authorize Rock Landing Psychological Group to use the telehealth practice platform for telecommunication for evaluating, testing and diagnosing my condition.

2. I understand that technical difficulties may occur before or during the telehealth sessions and my appointment may not be started or ended as intended.

3. I accept that the professionals can contact interactive sessions with video call; however, I am informed that the sessions can be conducted via regular voice communication if the technical requirements such as internet speed cannot be met.

4. I understand that I will be responsible for any copayments, coinsurance, or deductibles that apply to my telehealth/telemedicine visit.

5. I agree that my medical records on telehealth can be kept for further evaluation, analysis and documentation, and in all of these, my information will be kept confidential.

Where We Are

Rock Landing Psychological Group, PLC
The James Building
11825 Rock Landing Drive
Newport News, VA 23606
Phone: (757) 873-1736
Fax: (757) 873-1028