• Permission for Telehealth Visits

    Permission for Telehealth Visits

  • What is telehealth?

    • Telehealth is a way to visit with healthcare providers, such as your doctor, nurse practitioner, or physician assistant.
    • You can talk to your provider from any place, including your home. You don't go to a clinic or hospital.

    How do I use telehealth?

    • You talk to your provider by phone, computer, or tablet.
    • Sometimes, you use video so you and your provider can see each other.

    How does telehealth help me?

    • You don't have to go to a clinic or hospital to see your provider.
    • You won't risk getting sick from other people.

    Can telehealth be bad for me?

    • You and your provider won't be in the same room, so it may feel different than an office visit.
    • Your provider may make a mistake because they cannot examine you as closely as at an office visit. (We don't know if mistakes are more common with telehealth visits)
    • Your provider may decide you still need an office visit.
    • Technical problems may interrupt or stop your visit before you are done.

    Will my telehealth visit be private?

    • We will not record visits with your provider. 
    • If people are close to you, they may hear something you did not want them to know. You should be in a private place, so other people cannot hear you. 
    • Your provider will tell you if someone else from their office can hear or see you.
    • We use telehealth technology that is designed to protect your privacy. 
    • If you use the Internet for telehealth, use a network that is private and secure. 
    • There is a very small chance that someone could use technology to hear or see your telehealth visit.

    What if I want an office visit, not a telehealth visit?

    • You are always able to request an in-person visit.

    What if I try telehealth and don't like it?

    • You can stop using telehealth any time, even during a telehealth visit.
    • You can still get an office visit if you no longer want a telehealth visit.

    How much does a telehealth visit cost?

    • What you pay depends on your insurance. 
    • A telehealth visit will not cost any more than an office visit. 
    • If your provider decides you need an office visit in addition to your telehealth visit, you may have to pay for both visits.

    Do I have to sign this document?

    • No. Only sign this document if you want to use telehealth.

    Do not sign this form until you start your first telehealth visit.

    • Your provider will discuss it with you.

    What does it mean if I sign this document?

    If you sign this document, you agree that:

    • We talked about the information in this document.
    • We answered all your questions.
    • You want a telehealth visit.

    You can find a copy of this telehealth consent on our website: https://sites.google.com/phillipshospital.org/
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  • 1719 Hwy 183 | PO Box 547 | Phillipsburg, KS 67661

    785.543.5211 Phone | 785.543.5274 Main Fax | 785.540.4033 Nurses Fax

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