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Telehealth settings and minutes

Settings → Telehealth holds the practice switch and the defaults for every video visit: the join window (30 minutes before by default), the waiting-room message, the consent line clients agree to, whether clients may use chat, screen share, the whiteboard, and backgrounds, whether to ask for their location, and whether reminders carry the link. Telehealth is on Pro and above and metered in participant-minutes (Pro 1,500 a month with $0.08 per extra minute, Elite 6,000 with $0.02, Enterprise custom, trials 120 with no overage). The allowance resets each usage cycle, on your billing date, and extra minutes appear on your next invoice. A visit is never cut off.

Updated October 3, 20264 min read

Settings → Telehealth (under Communication) is where you switch video visits on for a location and set the defaults every visit starts from. Hosts can also adjust a few personal preferences from the settings gear inside a call.

Turn it on

Switch on Video visits and click Save changes. The switch is per location. If the page shows an upgrade banner instead, your plan does not include telehealth yet; your settings are kept and apply as soon as it does. See Upgrade or downgrade your plan.

Two other settings matter before the first visit:

  • Settings → Services → Delivery = Virtual on the services you run remotely, so the Video visit switch defaults on when they are booked. Services that groups use should also be marked Available for group sessions.
  • Settings → Email with a verified sender, so link emails and email reminders can go out.

Settings on the page

SettingWhat it does
Video visitsThe practice switch. Off by default.
Virtual services start as video visitsBookings for services whose delivery is Virtual get the Video visit switch on automatically. On by default.
Link opens before the appointmentHow early a client can open their link, 0 to 240 minutes. Default 30.
Link stays open after the appointment endsHow long after the scheduled end the link still works, 0 to 240 minutes. Default 30. Both windows move with the appointment if it is rescheduled.
Include the link in appointment remindersAdds "Join your video visit" with the link to the standard text and email reminders. On by default. {{telehealthLink}} works in custom templates.
Send a reminder 10 minutes beforeA second text and email carrying the link, 10 to 15 minutes before the start. On by default.
Waiting room messageWhat a client reads while waiting to be admitted.
Consent lineWhat the client agrees to on the join page. Default: "This is a video visit. It is encrypted and no audio or video is stored."
Maximum clients in a group visit1 to 15. Default 15.
What clients can do in a callChat, Share their screen, Use the whiteboard, Blur or replace their background. All on by default; you always can.
Ask clients for their current location when joiningShows their typed address in your Emergency info panel. Off by default. Save shared locations to the appointment decides whether it is kept.

Host preferences

From the gear on the pre-join screen or in the call, each host sets their own defaults for all their sessions: waiting room on or off, confirm before ending, a timer (counting up or down), chat previews, camera and microphone, video quality, mirrored self view, background, noise suppression, and spacebar push-to-talk.

With the waiting room off, clients who ask to join are admitted automatically.

Plans and minutes

Telehealth (video visits, one-to-one or group) is on Pro and above; booking an in-person group session isn't limited by plan. Usage is counted in participant-minutes: each person in the room, for each minute they are connected.

PlanIncluded each monthExtra minutes
Trial120No overage
Pro1,500$0.08 per participant-minute
Elite6,000$0.02 per participant-minute
EnterpriseCustomCustom

The pool is soft: a live visit is never cut off. Usage resets every month on your billing date (on an annual plan, monthly on the day the plan started), and extra minutes are billed with your other usage at that reset, on your next invoice. With overage billing switched off, or during a trial, nothing extra is charged. Usage alert emails warn you as the allowance runs down. Your current count shows under Settings → Billing as Telehealth (Video visits in the location switcher); see Understand usage and overages.

AI note minutes are a separate allowance. Turning on AI notes during a visit, dictating a note, or uploading a recording uses them (Pro 300 a month with 15¢ per extra minute, Elite 1,000 with 10¢, trials 60 with no overage); typed recaps are free, and a live session is never cut off. Extra AI note minutes are billed the same way as telehealth minutes, and not at all while overage billing is off. They show under Settings → Billing as AI notes. See AI progress notes.

Security, in one paragraph

Media and chat are encrypted on every hop and processed only inside the video provider's HIPAA-eligible infrastructure, covered by FrontDesk's BAA. Rooms are created by the server for one appointment with recording off, capped at 16 people, and reachable only with a token issued after you admit someone. Join links are unique per client, hashed at rest, rotated when you resend, and expire after the visit. No audio or video is ever stored; with the client's consent, AI note-taking transcribes a visit live to draft the clinical note, and the transcript is discarded once the draft exists.

Frequently asked questions

How are telehealth minutes counted?
In participant-minutes: every person connected to the room counts for every minute they are in it. A 50-minute visit with you and one client is about 100 participant-minutes. A 50-minute group with you and five clients is about 300.
What happens when we use all the included minutes?
Nothing changes in the call: a live visit is never cut off. Extra minutes are billed as overage with your other usage when your usage resets on your billing date, and appear on your next invoice: $0.08 per participant-minute on Pro, $0.02 on Elite (an annual plan gets its own overage invoice each month). If overage billing is switched off for the account, or during a trial, going past the allowance costs nothing extra. Heavy video users are better off on Elite.
Can I take the link out of the reminders?
Yes. Turn off "Include the link in appointment reminders" under Settings → Telehealth. You can still send links by hand from the appointment card. The 10-minute reminder for video visits has its own switch, "Send a reminder 10 minutes before".
Is there a telehealth consent form?
Two things cover it. The consent line on the join page, which the client agrees to before asking to join, is editable under Settings → Telehealth. For a signed form, send the seeded "Consent for Telehealth" intake template before the first visit.

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