Cathy Genna shares with us the marvels of a consult over cyberspace.  If any
others are thinking of venturing into this medium, I offer a gentle reminder
that any non-face-to-face consultation still has to operate under the
"rules" of a traditional visit.  So -- you need a consent to consult, and
you need to chart, and you may need to communicate with other health care
providers about the visit.  A private practitioner should be compensated for
the time -- altho LCinPPs have lots of business-savvy ways to handle
compensation for follow-up and care plan tweaks.

How do you get a "signed" consent over Skype?  Go for verbal when you are on
the camera, and add a note to the file.  "Mom--see this piece of paper in my
hand?  It is the consent form I would customarily have you sign if we were
face-to-face.  Let me read it to you [and yes, you have to read it to
her].   Mom, do you agree with everything in this form?"  When she answers
"Yes," *you* write on the consent form:  "After IBCLC orally read this form,
verbal consent was given by [client name] during our Skype consult of 20
April 2010" [or whenever].  If you are really clever, you will e-mail the
form to her before your scheduled Skype time.  When you see each other on
camera, you'll say "Mom, did you read, and do you agree with, the consent
form I sent you?"  When she says "Yes"  you'll write something like "Mom
received consent form by e-mail prior to our Skype consult.  She reports
during our 20 April 2010 Skype consult that she received, read and agrees
with the consent form."

Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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