Common Contracts

2 similar null contracts

Telehealth Informed Consent
October 7th, 2022
  • Filed
    October 7th, 2022

This telehealth informed consent is an agreement intended to supplement MercyMed’s mental health informed consent. This form does not amend any of the terms on your original mental health informed consent. Your signature below indicates agreement with these additional terms and conditions. This document contains important information focusing on mental health services via telecommunication – internet or phone.

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Telehealth Informed Consent
October 7th, 2022
  • Filed
    October 7th, 2022

This telehealth informed consent is an agreement intended to supplement MercyMed’s mental health informed consent. This form does not amend any of the terms on your original mental health informed consent. Your signature below indicates agreement with these additional terms and conditions. This document contains important information focusing on mental health services via telecommunication – internet or phone.

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