HRHN is trying to gather information about the Telehealth options that are currently available through providers in Charlotte, DeSoto, Hardee, Highlands, and Polk Counties, FL. We are gathering the information for purposes of developing a public awareness telemedicine campaign. 

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* 1. Please provide your contact information.

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* 2. In what counties do you provide services?

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* 3. Does your organization currently provide telehealth services?

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* 4. What telehealth/telemedicine services do you offer?

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* 5. Must patients be established already prior to being eligible for telehealth services?  If you offer more than 1 telehealth services, please explain if your answer applies to all or some, and if only some, please list which ones require prior eligibility.

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* 6. How would a patient access your telehealth services?

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* 7. Do you currently have any marketing materials for your telehealth services? 

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* 8. If you have marketing materials, would you be willing to provide it to HRHN?

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* 9. Would you like to discuss how HRHN can help you market your telehealth programs?

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* 10. Do you feel that anything other than lack of knowledge of telehealth services available keeps patients from utilizing your telehealth services?  If so, please summarize the barriers you feel patients have to utilizing telehealth. 

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