MADERA COUNTY MASTER CONTRACT NO. 20Telemedicine Agreement • June 19th, 2018
ContractTelemedicine Agreement • April 6th, 2022
TELEMEDICINE: ENEL X AND FONDAZIONE POLICLINICO A. GEMELLI IRCCS SIGN AN AGREEMENT WITH AON TO PROMOTE PERSONALIZED AND DIGITAL HEALTH CARE PROGRAMS THROUGH THE SMART AXISTANCE e-WELL PLATFORM
CHICAGO GASTRO TELEMEDICINE AGREEMENTTelemedicine Agreement • April 16th, 2020
Telemedicine involves the use of electronic communication to enable healthcare providers to treat patients remotely and improve patient care. I understand that I will be engaging with my healthcare provider at Chicago Gastro LLC in a telemedicine consultation. Details of my medical history, examination, procedure results, etc will be discussed over the telephone and/or video conference. I understand that there are potential risks to technology, including interruptions, and potential technical difficulties. I understand that my health care provider or I can discontinue the telemedicine consult/visit if it is felt that the videoconferencing connections are not adequate for the situation. I have had the alternatives to a telemedicine consultation explained to me, and in choosing to participate in a telemedicine consultation, I understand that some parts of the exam involving physical tests will not be conducted.
MEMORANDUM OF AGREEMENT BETWEENTelemedicine Agreement • May 5th, 2020
TELEMEDICINE AGREEMENTTelemedicine Agreement • September 6th, 2020
• I understand the video conference will not be the same as a direct patient/health care provider because I will not be in the same room with my health care provider.
TeleMedicine Agreement for List BillingTelemedicine Agreement • January 10th, 2023
TDA Insurance Agency, Inc. (TDAIA) will email a list bill to the employer on or about the 20th of each month. Any changes (additions or cancellations) need to be reported to TDAIA before the 1st of the month. The payment of the adjusted invoice will be deducted from your checking account on the 2nd working day of each month. Employer will not pay for any employee cancelled before the last business day of each month. Conversely, a credit will not be allowed for any reason if the employee is not cancelled before the last business day of each month.
STATE OF SOUTH CAROLINA DEPARTMENT OF EDUCATIONTelemedicine Agreement • March 17th, 2016
The South Carolina Department of Education’s (SCDE) Office of General Counsel, Medicaid Services, and Telehealth Committee have worked collaboratively with the Medical University of South Carolina to develop a model telemedicine agreement and addendum that districts can utilize. These documents address issues such as privacy, equipment, and responsibilities of all parties and should be a valuable tool as you enhance your school-based health services. The agreement and attached addendum provide boilerplate language you may wish to utilize when contracting for school-based health services with a hospital or other physician group utilizing telemedicine.
CHICAGO GASTRO TELEMEDICINE AGREEMENTTelemedicine Agreement • March 25th, 2020
Telemedicine involves the use of electronic communication to enable healthcare providers to treat patients remotely and improve patient care. I understand that I will be engaging with my healthcare provider at Chicago Gastro LLC in a telemedicine consultation. Details of my medical history, examination, procedure results, etc will be discussed over the telephone and/or video conference. I understand that there are potential risks to technology, including interruptions, and potential technical difficulties. I understand that my health care provider or I can discontinue the telemedicine consult/visit if it is felt that the videoconferencing connections are not adequate for the situation. I have had the alternatives to a telemedicine consultation explained to me, and in choosing to participate in a telemedicine consultation, I understand that some parts of the exam involving physical tests will not be conducted.
TELEMEDICINE AGREEMENTTelemedicine Agreement • October 23rd, 2019
CHICAGO GASTRO TELEMEDICINE AGREEMENTTelemedicine Agreement • April 16th, 2020
Telemedicine involves the use of electronic communication to enable healthcare providers to treat patients remotely and improve patient care. I understand that I will be engaging with my healthcare provider at Chicago Gastro LLC in a telemedicine consultation. Details of my medical history, examination, procedure results, etc will be discussed over the telephone and/or video conference. I understand that there are potential risks to technology, including interruptions, and potential technical difficulties. I understand that my health care provider or I can discontinue the telemedicine consult/visit if it is felt that the videoconferencing connections are not adequate for the situation. I have had the alternatives to a telemedicine consultation explained to me, and in choosing to participate in a telemedicine consultation, I understand that some parts of the exam involving physical tests will not be conducted.
