Participation Waiver

Participation Waiver

I understand that my physical presence and voice will be transmitted over the REMEC TeleHealth Network.  These programs may be videotaped and distributed to health care professionals. I agree that my participation will not be a violation of my personal rights and release any claims for such use.

Transmission of Patient Specific Information

To assist in assuring the utmost in patient confidentiality, it is imperative to take measures to “blind” patient-identifiable information.  NOTE:  It is not feasible to blind all patient identifiable information contained within the electronic medical record (EMR).  As healthcare professionals/attendees of this REMEC TeleHealth Network program we are required to protect this patient-identifiable information from further disclosure.  In discussing cases, only the patient’s initials, age, sex, and/or medical record unit number should be used to identify the patient.