1. Chronic Care Management (CCM):
a. Coordination of my healthcare services, including monthly check-ins with a care coordinator.
b. Development and implementation of a personalized care plan to address my chronic health conditions.
2. Remote Patient Monitoring (RPM):
a. Use of remote health devices such as blood pressure monitors, glucose meters, and weight scales to track my health.
b. Transmission of health data to my care team for ongoing monitoring and timely interventions.
3. Medical Nutrition Therapy (MNT):
a. Nutrition counseling and the creation of meal plans tailored to my health needs and cultural preferences.
b. Education and resources to support dietary changes and improve overall health.
Consent and Understanding:
- I understand that these services are designed to improve the management of my chronic conditions and enhance my overall health outcomes.
- I acknowledge that the devices used for RPM may collect and transmit sensitive health data, which will be protected under applicable privacy and security laws.
- I agree to actively participate in the care programs, including using any provided devices and following care plan recommendations.
Revocation of Consent:
I understand that I may revoke this consent at any time by providing written notice to Greens Health. I acknowledge that revoking this consent may limit the ability of Greens Health to provide comprehensive care and support.
Patient Declaration:
I certify that I have read and understood the terms of this consent form. By signing below, I voluntarily agree to participate in CCM, RPM, and MNT services provided by Greens Health.