Authorization form to enroll in palliative care with ResolutionCare, including payment of medical benefits, communication formats, policies, and notices.

An authorization to release and disclose patient information to specified persons and providers.

Packet Includes: Patient Rights and Repsonsibilities Notice of Privacy Practices, HIPAA and Privacy Notice, Patient Non-Discrimination, Finacial Policy.

Informed consent regarding use of Telehealth to deliver care, purpose, anticipated benefits, potential risks, follow-up care in urgent situations, data privacy and protection, and patient acknowledgments are described. 

A list of services ResolutionCare does and does not provide.

Instructions for contacting ResolutionCare in case of an URGENT after hours situation.