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Telehealth Support Services
Would your practice be interested in assistance with practice-specific guidance on Telehealth implementation and technical and operational support? Please complete this short survey to gauge potential interest.
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1.
Please complete the following information:
First Name
Last Name
Degree (MD, DO, NP, etc.)
Name of Practice
Email
Contact Phone Number
2.
Are you/your practice currently providing telehealth services?
Yes
No
Not yet, but we plan to
Other (please specify)
3.
What kind of help would you/your practice like related to telehealth?
Thank you! We will be in touch with you soon.
Current Progress,
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