CONSENT FOR TELEHEALTH SERVICES AND TREATMENTJanuary 11th, 2022
FiledJanuary 11th, 2022Thank you for choosing us for your telehealth care. Patients and families are essential participants in health care, and we want you to understand your rights and responsibilities while receiving care from us. If you have any questions about this form, please ask your provider. If you are a guardian/legally-authorized representative of a patient, please read this agreement with the understanding that “I” and “me” means the patient.