TeleHealth

We now offer Telehealth (Telemedicine) visits–call us at 919-286-7903 to schedule if you prefer this to an in person visit. Many insurance companies are covering Telehealth / Telemedicine during the COVID pandemic. We will file your Telehealth/Telemedicne visit with your insurance company. However, you may be responsible for the visit depending on your insurance benefits.

Telemedicine lets a doctor or other healthcare provider care for you, even when you cannot see him or her in person. The patient-doctor encounter will occur real-time, by way of audio and video telecommunication. The doctor uses telemedicine to:

obtain a more thorough history
examine your skin visually
give you advice

If you have a Telehealth appointment scheduled already, please click on the link below for the consent form.

Download Telemedicine Session Patient Authorization and Consent Form

Download the Telemedicine
Session Consent Form

Required Consent Before Beginning TeleHealth

This form gives you facts about and risks of telemedicine sessions. By initialing below, you agree that you have read, understand, and agree with these terms.

I also confirm by my signature below that:

I have reviewed the Telemedicine Session Patient Authorization and Consent Form.
I have been able to ask questions about telemedicine sessions.
All of my questions have been answered.
I understand no guarantees have been made about success or outcome.
I agree to take part in a telemedicine session.

Patient's Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
*If patient is a minor or has a legal guardian, enter Parent or Guardian’s name:
Parent's Name
First Last
Initials*
Consent*
I acknowledge that I have reviewed and agree to the facts and risks of telemedicine sessions.
CAPTCHA