A Telemedicine Informed Consent Form is used for getting a patient's consent for a telemedicine program. Telemedicine is a very convenient method of providing health care to patients. But to ensure that a proper program is met, it is important for the patient to know how the procedure is going to be done, including the tools and equipment that will be needed and the privacy policy that shall be practiced by the facility and the health care personnel, as details about billing. Lastly, it is up to the patient to whether he or she will allow himself or herself to undergo such a program and that his or her rights to revoke from the consent previously given.