NARBHA psychiatric providers are all required to be oriented prior to providing telemedicine services to patients.

To provide orientation to your staff, request a copy of the Orientation DVD from the NARBHA Telemed Staff (telemed@narbha.org).

Then print out the following forms and policies prior to giving orientation:

• Checklist for provider orientation
• NARBHA policy 10.10 Clinical Telemedicine Services
• NARBHA policy 3.11 General and Informed Consent to Treatment
• PM Form 3.11.1 Informed Consent to Participate in Telemedicine Services
• PM Form 3.11.2 Informed Consent to Participate in Telemedicine Services & Videotape
• Informed Consent for Psychotropic Medication Treatment (modified for telemedicine use)
• October 2007 Telemedicine Allowable Codes summarized from ADHS/DBHS Allowable Procedure Code Matrix

NARBHA
Telemedicine Program
1300 S. Yale St.
Flagstaff, AZ 86004

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