Common Contracts

Consent for Payment of Services

Telehealth Services Agreement • March 26th, 2020

• Contract Type
  Telehealth Services Agreement
• Filed
  March 26th, 2020

This Agreement for Telehealth Services (“Agreement”) is a temporary execution of services effective as of , 20 (“Effective Date”) by and between Integrated Care Concepts & Consultation, and, (“Clinician”), and