Telehealth and Associated Consent

Telehealth Information

The following information is designed to inform you of the risks and possible ways to protect your information when engaging in Telehealth (video and audio based conferencing with associated information sharing functions), and to seek your informed consent to participate in Telehealth services.

Telehealth utilised by Focus Time Psychology provides appropriate focused psychological assessment, education, intervention and skills development utilising encrypted video conferencing links across the internet between you and your Psychologist. At times Telehealth may also include telephone (voice) only connections.

Telehealth services support psychological care when face to face consultation is not appropriate or may be difficult to complete due to geographical, health (e.g. COVID-19) or for those living in in rural or remote areas within Australia. Telehealth is only available when clinically appropriate.

Telehealth may only be available when approved by 3rd party provides such as Medicare, Department of Veteran Affairs, Victims Services, Marathon Health, EAP providers and other such services who have approved this mode of psychological care.

Telehealth requires specialist software that may enable the sending and receiving of video, voice, txt and the transmission of files (e.g. document, PDF’s). Additional costs are often associated with Telehealth and include the need for a camera, speaker, computer technology (PC / Mac, smartphone or tablet) and an adequate internet connection that is stable, and that has a data plan that supports Telehealth.

Focus Time Psychology is not responsible for the cost of the internet and associated technology for its clients. Focus Time Psychology utilises 2 forms of Telehealth (Power Diary Telehealth (preferred method), and COVIU). These products have been reviewed and supported by the Australian Psychological Society. Telehealth will require prior consent and authorisation. Focus Time Psychology will initiate Telehealth sessions completed by telephone.

Although Telehealth programs are encrypted to protect potential, eavesdropping or collecting private information, there are vulnerabilities with Telehealth as with other internet programs. It is important that you are aware of the primary risks when using Telehealth.

  • Internet traffic between your internet connected device and your Psychologist could travel outside of Australia, as Telehealth services and their equipment may reside overseas.
  • Information such as your IP address (internet address), location, date and time, but not the content of the Telehealth session may be stored.
  • The ability to ‘hack’, overhear or record the content of the Telehealth session. This may occur if your computer technology is compromised (e.g. by a virus).

Focus Time Psychology recommend your review and consider such risks prior to engaging in Telehealth. Focus Time Psychology has in place reasonable measures to mitigate the security risks outlined. More information on Power Diary and COVIU security is available at the organisation web sites.

Limitations of Telehealth

A Telehealth consultation may be subject to limitations such as an unstable network connection which may affect the quality of the psychology session. In addition, there may be some services for which Telehealth is not appropriate or effective. Your psychologist will consider and discuss with you the appropriateness of ongoing Telehealth sessions.

Privacy and Confidentiality During Telehealth Sessions

When engaging in Telehealth consultations it is important that you have access to a safe, private, quiet space. It is also important that you have access to the technology needed (e.g. PC / Mac, smartphone, Tablet with a camera, microphone and speakers (preferably headset with microphone). A reliable internet connection is essential.

In consenting to engage in Tele-Health services from Focus Time Psychology you acknowledge these risks and consent to proceed with counselling on this basis.


Consent for Telehealth

Consent for a Psychological Telehealth Service

As part of providing a psychological service to you, Neville Shackleton, Focus Time Psychology needs to collect and record personal information from you that is relevant to your situation, such as your name, contact information, medical history and other relevant information as part of providing psychological services to you. This collection of personal information will be a necessary part of the psychological assessment and treatment that is conducted.

A detailed description of how your personal information is managed, how you can access your personal information, and how to lodge any concerns or complaints about this service or how your personal information is managed must be provided to you by your health professional on request.

Disclosure of Personal Information

Personal information gathered as part of this service will remain confidential except when:

  1. it is subpoenaed by a court; or
  2. failure to disclose the information would place you or another person at serious risk to life, health or safety; or
  3. your prior approval has been obtained to
  1. provide a written report to another professional or agency. e.g., a GP or a lawyer; or
  2. discuss the material with another person, e.g. a parent, employer or health provider; or
  3. disclose the information in another way; or
  1. you would reasonably expect your personal information to be disclosed to another professional or agency (e.g. your GP) and disclosure of your personal information to that third party is for a purpose which is directly related to the primary purpose for which your personal information was collected; or
  2. disclosure is otherwise required or authorised by law.

Provision of a Telehealth Service

Where appropriate the service may be provided by telephone or videoconferencing. You are responsible for the costs associated with setting up the technology needed so you can access Telehealth services. Neville Shackleton, Focus Time Psychology will be responsible for the cost of the telephone call to you. Neville Shackleton, Focus Time Psychology will cover the cost associated with the Power Diary Telehealth platform or COVIU only.  Neville Shackleton, Focus Time Psychology will not cover the cost associated with other Telehealth platforms.

To access Telehealth consultations you will need access to a quiet, private space; and the appropriate device, i.e. smartphone, laptop, iPad, computer, with a camera, microphone and speakers; and a reliable broadband internet connection.

The privacy of any form of communication via the internet is potentially vulnerable and limited by the security of the technology used. To support the security of your personal information this practice uses Power Diary Telehealth, and COVIU which are compliant with the Australian standards for online security and encryption.

Limitations of Telehealth

A telehealth consultation may be subject to limitations such as an unstable network connection which may affect the quality of the psychology session. In addition, there may be some services for which telehealth is not appropriate or effective. Your psychologist will consider and discuss with you the appropriateness of ongoing telehealth sessions.


The cost of a consultation are listed on the Focus Time Psychology Web Site or have been previously discussed with you. Any fees payable will be invoiced at the end of the session and Neville Shackleton, Focus Time Psychology will discuss the best payment options. Your psychologist will discuss with you your eligibility for Medicare or other compensable funding.

Cancellation Policy

If you need to cancel or postpone your appointment, please give the psychologist at least 24 hours’ notice, otherwise you may be charged a cancellation fee of the full amount of the session.

Consent to receive psychological services by telehealth

I understood the above information including risks and protections associated with Telehealth. I give my informed consent for Focus Time Psychology to provide me with Telehealth services. I have been provided with information about the service including the limitations to privacy and confidentiality and I have agreed that in circumstances where the psychologist is concerned about my welfare and is unable to contact me permission is provided for the psychologist to contact the following person:

Name: Contact

Emergency Contact

I have read and understood the information in this Consent Form and have discussed any outstanding questions with the practice/psychologist. I agree to the above conditions for Telehealth psychological services to be provided by Neville Shackleton, Focus Time Psychology.

Name: Client

Sign: Client


Neville (Nev) Shackleton

Name: Psychologist

Sign: Psychologist


OR where signature is not possible psychologist’s confirmation of verbal consent:  

I have discussed the information in this consent form with the client and received verbal consent to proceed with telehealth services or have sent txt or email with consent code

Neville (Nev) Shackleton

Name: Psychologist

Sign: Psychologist



Consent code is Telehealth2020