Common Contracts

1 similar Consent for Telehealth Services and Treatment contracts

CONSENT FOR TELEHEALTH SERVICES AND TREATMENT
Consent for Telehealth Services and Treatment • January 11th, 2022

Thank 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.

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