Consent to Telehealth/Notice of Privacy Practice/Financial Agreement is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
Q: What is telehealth?
A: Telehealth refers to the practice of providing healthcare remotely, using technology such as video conferencing or phone calls.
Q: Why do I need to give consent to telehealth?
A: Consenting to telehealth allows healthcare providers to deliver care remotely, ensuring your privacy and consent for use of this technology.
Q: What is a Notice of Privacy Practice?
A: A Notice of Privacy Practice is a document that explains how your healthcare provider may use and disclose your health information, as well as your rights regarding your health information.
Q: Why do I need to receive a Notice of Privacy Practice?
A: Receiving a Notice of Privacy Practice informs you about your privacy rights and how your health information may be used or disclosed.
Q: What is a Financial Agreement?
A: A Financial Agreement outlines the terms and conditions for payment of healthcare services and any financial obligations you may have as a patient.
Q: Why do I need to sign a Financial Agreement?
A: Signing a Financial Agreement ensures that both you and your healthcare provider are aware of your financial responsibilities for the healthcare services provided.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.