UW Medicine Telehealth Services
Telehealth visits during the COVID-19 response
How to get ready for your appointment:
Patient Consent/Acknowledgement forms
If you are a new patient to UW Medicine, or your patient consent/acknowledgement has expired, we will need to review and verbally consent/acknowledge to the new patient forms below:
- UW Medicine Care Agreement– Requires your consent/acknowledgement that you consent to having UW Medicine provide you with medical care.
- UW Medicine Financial Agreement – Requires your consent/acknowledgement that we will bill services provided to your insurance (if applicable) and you are responsible for payment of remaining balance.
- UW Medicine Notice of Privacy Practices – this is for your records and includes information about the privacy practices in place at UW Medicine.
- UW Medicine Notice of Privacy Practices Acknowledgement – Requires your consent/acknowledgement that we have provided you with a copy of our Notice of Privacy Practices