Sample Forms
Use these forms as samples to help develop ones for use in your telehealth program.
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A sample consent form for telehealth.
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A sample telehealth consent form.
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A sample telehealth consent form.
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A sample telehealth consent form.
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A sample telehealth patient evaluation form.
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A sample telehealth evaluation form from AHRQ.
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Consent form to participate in telemedicine consultation / Consentimiento para participar en una consulta de telemedicina