I understand that telemedicine is the use of electronic information and communication technologies by a health care provider to deliver services to an individual when he/she is located at a different site than the provider; and hereby consent to Speech Language and Learning Center of TN providing health care services to me via telemedicine.
I understand that the laws that protect privacy and the confidentiality of medical information also apply to telemedicine. As always, your insurance carrier will have access to your medical records for qualty review/audit.
I understand that I will be responsible for any copayments or coinsurances that apply to my telemedicine visit.
I understand that I have the right to withhold or withdraw my consent to the use of telemedicine in the course of my care at any time, without affecting my right to future care or treatment. I may revoke my consent orally or in writing at any time by contacting the Speech Language and Learning Center of TN.
I understand that the telehelath platform used may not be HIPAA compliant, which could, in rare circumstances, result in a breach of privacy of personal medical information, but, the provider will be diligent about locking the waiting room as soon as the session is begun to inhibit other users to enter the session.