CONSENT FOR TELEHEALTH SERVICES AND TREATMENTConsent for Telehealth Services and Treatment • June 4th, 2020
Patients and families are essential participants in healthcare 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 parent/legally-authorized representative of a child, please read this agreement with the understanding that “I” and “me” means the child.
CONSENT FOR TELEHEALTH SERVICES AND TREATMENTConsent for Telehealth Services and Treatment • March 23rd, 2020
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.
CONSENT FOR TELEHEALTH SERVICES AND TREATMENTConsent 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.
