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Professionals must be aware of the importance of obtaining and documenting written informed consent from their clients that specifically addresses the unique concerns relevant to the distance mental health services that will be offered. When developing this informed consent, reasonable effort must be made to use language that is reasonably understandable to their clients, in addition to, evaluating the need to address cultural, linguistic, organizational considerations, and other issues that may impact a clients understanding of this agreement. Providers may include the manner in which they and their clients will use the particular telecommunication technologies, the boundaries they will establish and observe, and the procedures for responding to electronic communications from clients. Reasonable expectations about contact between sessions should be discussed and verified with the client, whether or not the provider will be available for phone or electronic contact between sessions a