Telehealth Services Contract

Defines the virtual care services to be provided, the limitations of remote treatment, patient eligibility, and circumstances requiring in-person care.

Identifies approved telehealth platforms, patient technology responsibilities, connectivity limitations, identity verification, and secure communication procedures.

Requires services to be delivered only where the provider is properly licensed or otherwise authorized and addresses patient location disclosures during visits.

Protects health information, references applicable privacy laws, limits unauthorized recording or disclosure, and describes permissible communications.

Sets out service charges, insurance billing responsibilities, co-payments, deductibles, cancellation fees, and patient responsibility for unpaid amounts.

Clarifies that telehealth is not for emergencies, requires use of emergency services when needed, and allocates risks related to remote assessment limitations.

Explains how either party may cancel or terminate services, addresses missed appointments, and provides for referrals or transition of care when appropriate.

Establishes the applicable law, venue or dispute process, notice requirements, and any required professional complaint or grievance procedures.