These are the 3 consents that need to be reviewed by the guardian prior to the visit. These need re-attestation annually:
🏷️ Learn more about how to use Bridge consents here
Medical visits involving minors are subject to specific consent, reporting, and disclosure requirements depending on the state the patient is located in at the time of the visit. Depending on the scope of the visit, a parent or legal guardian may need to provide consent, be present, or have access to visit information (except for situations where confidentiality is protected by state or federal law).
Clinicians are required to follow mandatory reporting laws, which may require disclosure to appropriate authorities (ex. CPS/DCS via phone/fax/specific form) when safety concerns are identified.
Bridge will work with you to reflect this in your Scope of Practice and other Policies
A unique guardian & minor Telehealth Disclaimer is required to be used for any partners seeing patients younger than 18.
Telehealth Disclaimer - Pediatric + Guardian
Patient [First Name, Last Name] is presenting for a telemedicine evaluation on [encounter date] {as a minor patient, accompanied by [Parent/Guardian First Name, Last Name]}. I have reviewed applicable state laws and ascertained that this request, including those governing telehealth {consent for minor patients} and have ascertained that this request, with the information provided, is appropriate to complete via real-time interactive audio and video communications system.
To the extent that I have been made aware by the company with which I contract to provide medical services, the [patient/parent/legal guardian] has signed relevant attestations, prior to to this encounter {, confirming their authority to consent to medical treatment on behalf of the minor patient}. These attestations further confirm that the [patient/parent/legal guardian] is aware of any limitations inherent in a virtual health encounter, and understands that urgent or emergent care must be pursued in person. I have not identified any barriers to the treatment plan discussed below.
The patient’s identity was confirmed by verifying their name, date of birth, and current location (state of ___, in which I am licensed to practice), {, and that the parent/legal guardian is present and accompanying the minor during this encounter}.