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Telehealth Sample Forms and Guidelines
The California Telehealth Resource Center (CTRC) curated or developed sample forms, which are available for use when implementing a telehealth program.
Consent #2 (English) (obtained from the Cooperative of American Physicians)
COVID-19 Consent for Telehealth Consultation (obtained from TRMS)
COVID-19 Informed Consent for Telehealth (obtained from TRMS)
Clinic Telehealth Policy (Shared by the North Country Telemedicine Pilot Program)
Policy and Procedure Template (obtained from AHIMA)
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