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Telehealth Services Quick Survey
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*
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Comments
This field is for validation purposes and should be left unchanged.
Name of your organization
*
Do you currently provide Telehealth Services?
*
Yes
No
If yes, what is the most common reason patients/clients use your telehealth services? (select up to 3)
*
Convenience (easier scheduling, no travel)
Distance (patient lives far from clinic)
Time (shorter visits, reduced waiting)
Professional skills (access to specialists)
Other
If no, what has kept your organization from offering telehealth? (select all that apply)
*
Cost prohibitive (equipment, software, staffing)
Technology resource limitations (internet access for patients or clinic)
Lack of knowledge or training (how it works, workflows)
Reimbursement or billing uncertainty
Patient demand too low
Regulatory or privacy concerns
Other
Other
*
What would encourage your organization to provide or expand telehealth services? (select up to 3)
*
Funding or grants to offset startup costs
Clear reimbursement policies and billing guidance
Simple, low-cost technology solutions and technical support
Training for clinicians and administrative staff
Assistance with privacy/compliance guidance (HIPAA etc.)
Partnership with a telehealth resource center for ongoing support
Other
Other
*
Optional contact for follow-up
Your Full Name
Title
Email Address
Phone Number
Thank you for Signing Up
Please correct the marked field(s) below.
Contact Email
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First Name
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Last Name
*
1,true,1,Last Name,2
State
*
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Organization Type
Rural Healthcare Clinic
FQHC
1,false,18,Organization Type,2
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Home
About Us
Advisory Council
Policies & Billing
Policies & Billing Overview
Medicare
Kansas
Missouri
Oklahoma
Free Resources
Webinars
Virtual Health Access Map
Fact Sheets
Research
Grants and Opportunities
Courses
Toolkits
Trusted Telehealth Organizations
Technology
Telemedicine Platforms
Telemedicine Kits
Booths and Mobile/Micro Clinics
Remote Patient Monitoring
National Telehealth Technology Assessment Resource Center
News
Blog
Newsletter
24 N Sprigg St. Suite 14-15
Cape Girardeau, MO 63701
(573) 332-7992
info@pulsetrc.org
