|
Telemedicine
Request Form
 Network
users - click here to go
to the RBHA Telemedicine Scheduling Center log
in screen where you will be allowed to request
telemedicine meetings and connection with network
sites.
Member
Consent to Participate Form
Informed
Consent to Participate in Telmedicine Services
Form
(PDF format)
This
form was adopted by NARBHA and is used to obtain
informed consent from Members who participate
in telmedicine on NARBHA net.
Psychiatric
Grand Rounds
Sign-In
Sheet
click here to download and save
Word Document
Evaluation
form
click
here to download and save Word Document
Site Coordinators: Please have sign-in sheets
and evaluation forms available in the conference
room for each Psychiatric Grand Rounds session.
Indicate your site name/location (include city)
at the top of the form and indicate the site
coordinator's name at the bottom. Original
sign-in sheets and evaluations must be mailed
directly to Tracy Skinner at the University
of Arizona (address below) in order for participants
to receive credit.
University of Arizona
Arizona Telemedicine Program
Attn: Tracy Skinner
CME Coordinator
PO Box 245105
Tucson, AZ 85724-5105
back
to the top
|
