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).