Telemedicine Forms

The University Notice of Privacy Practices (“NPP”) OUHSC Privacy and Medical Record Forms
Acknowledgement of Receipt of the NPP OUHSC Privacy and Medical Record Forms

Telemedicine Consent Form
Teleconsult Tips and Etiquette document


Please note that effective November 1, 2016 a separate telemedicine consent form will only be required for Medicaid patients due to the passing of HB2547. The Oklahoma Medicaid Telemedicine Policy is available at http://okhca.org/providers.aspx?id=10014 (Last revised June 2016).

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