Telemedicine Services Agreement Sample Contracts

Telemedicine Services
Telemedicine Services Agreement • June 17th, 2021

When Telemedicine Services are offered, the Contractor must abide by and agree to the provisions described in this agreement.

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Telemedicine Services Agreement
Telemedicine Services Agreement • June 15th, 2020

The purpose of this agreement is to provide patients/families with information about Weiss Pediatric Care's Telemedicine Services and to inform you of what you are consenting to during the visit.

Telemedicine Services Agreement
Telemedicine Services Agreement • March 24th, 2020

- Definitions: “Telemedicine” refers to healthcare that is provided using telecommunications technology rather than in-person. There are certain visits that can be offered via telemedicine, using videoconference technology provided by Doxy.me.

AGREEMENT FOR TELEMEDICINE SERVICES
Telemedicine Services Agreement • November 1st, 2020 • Ohio

Read this Agreement for Telemedicine Services (“Agreement”) carefully before deciding to receive telemedicine services or in-person care from Alpha & Omega Healing Arts, LLC (“Alpha & Omega”).

TELEMEDICINE SERVICES AGREEMENT
Telemedicine Services Agreement • June 5th, 2023 • Ohio

THIS TELEMEDICINE SERVICES AGREEMENT (“Agreement”) is made and entered into effective as of August 1, 2023 (“Effective Date”), by and between The Orrville Hospital Foundation d/b/a Aultman Orrville Hospital, an Ohio nonprofit corporation

Contract
Telemedicine Services Agreement • October 23rd, 2013

[NOTE: THIS IS A SAMPLE AGREEMENT BETWEEN A CRITICAL ACCES S HOSPITAL AND A DIS TANT S ITE HOSP ITAL DESIGNED TO SATISFY REQUIREMENTS FOR TELEMEDICINE

Contract
Telemedicine Services Agreement • November 5th, 2009

Contract Name: Agreement Number: California Department of Corrections and Rehabilitation (CDCR) Scope of Work Exhibit A - Attachment 1

CONTRACT BY AND BETWEEN TENNESSEE BOARD OF REGENTS AND [CONTRACTOR NAME]
Telemedicine Services Agreement • July 8th, 2019 • Tennessee

This Contract is entered into this __ day of ________, 20__ by and between Tennessee Board of Regents (hereinafter “TBR”), a public entity of higher education organized and existing under the laws of the State of Tennessee and [CONTRACTOR LEGAL ENTITY NAME], (hereinafter referred to as the “Contractor”), is for the provision of Telemedicine Services, as further defined in the "SCOPE OF SERVICES".

Telemedicine Services
Telemedicine Services Agreement • June 17th, 2021

When Telemedicine Services are offered, the Contractor must abide by and agree to the provisions described in this agreement.

TELEMEDICINE SERVICES AGREEMENT/CERTIFICATION
Telemedicine Services Agreement • October 3rd, 2016

I, the undersigned participating physician/provider, agree to provide telemedicine services as described in the Physician chapter of the Alabama Medicaid Provider Manual and in accordance with the terms and conditions expressed in the Medicaid State Plan for Medical Assistance, the Administrative Code and all other federal and state laws and regulations as they pertain to my performance under this agreement.

Telemedicine Services
Telemedicine Services Agreement • June 17th, 2020

Telemedicine Services are currently available solely to the Division of Adult Institutions. When telemedicine services are offered, the Contractor and its providers must abide by and agree to the provisions described in this Agreement.

Telemedicine Services
Telemedicine Services Agreement • June 17th, 2021

When Telemedicine Services are offered by the Contractor, the Contractor must abide by the provisions described in this Agreement.

TELEMEDICINE SERVICES AGREEMENT
Telemedicine Services Agreement • August 26th, 2021 • American International Holdings Corp. • Services-health services

This Telemedicine Agreement (the “Agreement”) dated August 15, 2021 (the “Effective Date”), is by and between ZipDoctor, Inc., a Texas corporation (“ZipDoctor”), a wholly-owned subsidiary of American International Holdings Corp., a Nevada corporation, and Murphy RX, LLC, a Texas limited liability company, (“Murphy”), collectively the “Parties” and each a “Party”.

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