1. Background

Through this survey, the Health Policy Institute of Ohio (HPIO) would like to gain a better understanding of the types of telehealth programs and services offered in Ohio. Information gathered from this survey will be used to inform HPIO’s telehealth work and state-level telehealth policy discussions.

HPIO defines telehealth broadly as "the exchange of medical information from one site to another via electronic communications for the purpose of providing clinical support or care; remote clinical care and patient monitoring; e-health; professional and patient-related health education and health information management." 

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* Name of organization

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* Primary contact- first name

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* Primary contact- last name

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* Primary contact- email address

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* Primary contact title

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* Additional contact- first name

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* Additional contact- last name

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* Additional contact- email address

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* Does your organization currently provide telehealth services or operate an active telehealth program?

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