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CONSENT FOR TELEHEALTH SERVICES Acacia Family Medical Group 400 East Rome Lane 8036 San Miguel Canyon Rd. Salinas, CA 93901 Prune dale, CA 93907 (831) 7700123 (831) 6630123 NAME: DATE OF BIRTH: SIGNATURE:
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The Department of Health Telehealth Department is a governmental unit that oversees and regulates telehealth services, ensuring that they meet safety, quality, and accessibility standards for patients.
Healthcare providers who offer telehealth services, including physicians, mental health professionals, and other licensed practitioners, are required to file with the Department of Health Telehealth Department.
To fill out the Department of Health Telehealth Department requirements, providers must complete the designated forms accurately, provide necessary documentation, and submit them electronically or by mail according to outlined guidelines.
The purpose of the Department of Health Telehealth Department is to regulate telehealth practices, ensure compliance with health standards, enhance access to care, and protect patient rights.
Providers must report information including their credentials, the types of telehealth services offered, patient demographics, and any adverse events related to telehealth services.
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