| Presentation/Title |
Presenter / Owner |
Format |
File |
| Provider Agreement Essentials |
Northwest Regional Telehealth Resource Center (NRTRC) |
Word
PDF |
 |
| Patient Consent Form (Sample #1) |
Northwest Regional Telehealth Resource Center (NRTRC) |
Word
PDF |
 |
| Patient Consent Form (Sample #2) |
Northwest Telehealth |
Word
PDF |
 |
| Patient Consent Form (Sample #3) |
Benefis Healthcare / REACH Network |
Word
PDF |
 |
| Patient Rights for Telehealth Encounters Form |
Northwest Regional Telehealth Resource Center (NRTRC) |
Word
PDF |
 |
| Patient Encounter Form Instructions |
Northwest Regional Telehealth Resource Center (NRTRC) |
Word
PDF |
 |
| Diabetes Education Consent Form |
Northwest Telehealth |
Word
PDF |
 |
| Diabetes Education Patient Referral Form |
Northwest Telehealth |
Word
PDF |
 |
| Diabetes Education Physician Referral Form |
Northwest Telehealth |
Word
PDF |
 |
| Diabetes Education Provider Information Letter |
Northwest Telehealth |
Word
PDF |
 |
| Mental Health Patient Consent Form |
Northwest Telehealth |
Word
PDF |
 |
| Stroke Patient Consent Form |
Utah Telehealth Network |
Word
PDF |
 |