Common Contracts

Cornerstone Behavioral Healthcare Telehealth Agreement & Signature Page

Telehealth Agreement • January 13th, 2020

• Contract Type
  Telehealth Agreement
• Filed
  January 13th, 2020

I, _____________________________________________, agree to participate in Telehealth services. These services will be provided by, _______________________________________. My signature acknowledges that I have read, understood and agree to the Telehealth Service Policy (page 2) that governs services provided at Cornerstone Behavioral Healthcare.