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Resources
Billing Guidelines
Virtual Care Physician and Dentist Registration Form Virtual Care Billing Information Manual Forms & Brochures
Consent for Photography or Audio-Visual Consent to Record a Telemedicine Session Inter-network Connection Request Form Patient & Families Brochure - English Patient & Families Brochure - French Privacy Door Hanger Order Form Site Sign Order - Multiple Systems Site Sign Order - Single System Telederm Brochure - English Telederm Brochure - French Telederm Ruler Order Form Guidelines and General Policy
Checklist: Patient consent to participate in a video visit Clinical Consultation Etiquette
Clinical Protocol Outline Completing a Clinical Protocol - Instructions eConsult Schedule Faxing Prescriptions Northern Health Travel Grant Protocole clinique de télémédecine Staffing Guideline Webcasting Policy Membership
Videoconferencing One-time Fees Videoconferencing Service Plans - For-profit Organizations and Providers Videoconferencing Service Plans - MOHLTC-Funded Organizations and Providers Videoconferencing Service Plans - Not-for-profit Organizations and Providers Teleophthamology
Change Management and Adoption Plan Change Management and Adoption Strategy Guide Fact Sheet Patient Brochure Patient Brochure (en français) Teleophthalmology Engagement Plan Videoconferencing Equipment
Supported List Vendors of Record Contact Information Videoconferencing End-Point Option Categories Equipment Decision Tree Information Regarding OTN RFSQ #2015OTN0049 Purchasing Process for Videoconferencing Solutions from OTN Vendors of Record (VORs) BOM - Codec and Display – Cisco Room Kit and 40”-60” Monitor BOM - Codec and Display – Cisco Room Kit Plus and 40”-60” Monitor BOM - Codec and Display – Cisco Room Kit Plus P60 and 40”-60” Monitor BOM - Codec and Display only – Polycom Group Series 310 with Acoustic Camera and 32”-40” Monitor BOM – Codec and Display only – Polycom Group Series 310 with 4x zoom Camera and 40”-60” Monitor BOM – Codec and Display only – Polycom Group Series 310 with 12x zoom Camera and 40”-60” Monitor BOM - Codec only – Cisco Room Kit BOM - Codec only – Cisco Room Kit Plus BOM - Codec only – Cisco Room Kit Plus P60 BOM - Codec only - Cisco SX80 with 12x zoom Camera BOM – Codec only– Polycom Group Series 310 with Acoustic Camera BOM – Codec only – Polycom Group Series 310 with 4x zoom Camera BOM – Codec only – Polycom Group Series 310 with 12x zoom Camera BOM – Desktop – Cisco DX80 BOM – Desktop – Polycom Group Convene BOM – eVisit Mobile Station with Logitech MeetUp ConferenceCam and 24” Monitor BOM - MEDVu Clinical Cart – Cisco Room Kit Plus P60 BOM - MEDVu Clinical Cart - Option E - iDoc and Polycom QDX 6000/VSX 7000 BOM – MEDVu Clinical Cart – Polycom Group Series 310 BOM – MEDVu-R1 Retrofit Clinical Cart – Polycom Group Series 310 BOM - MEDVu-rDoc Retrofit Clinical Cart - Option A - iDoc Lite and Polycom QDX 6000 BOM - MEDVu-rDoc Retrofit Clinical Cart - Option B - iDoc Lite and Polycom QDX 6000 BOM – MEDVu-rDoc Retrofit Clinical Cart – Polycom Group Series 310 BOM - MEDVu Retrofit Clinical Cart - Option C - MEDVu and Polycom QDX 6000 BOM - MEDVu Retrofit Clinical Cart - Option D - MEDVu and Polycom QDX 6000 BOM - Mobile Room based videoconferencing – Cisco Room Kit and 40”-60” Monitor BOM - Mobile Room based videoconferencing – Cisco Room Kit Plus and 40”-60” Monitor BOM - Mobile Room based videoconferencing – Cisco Room Kit Plus P60 and 40”-60” Monitor BOM – Mobile Room based videoconferencing – Polycom Group Series 310 with Acoustic Camera and 32”-40” Monitor BOM – Mobile Room based videoconferencing – Polycom Group Series 310 with 4x zoom Camera and 40”-60” Monitor BOM – Mobile Room based videoconferencing – Polycom Group Series 310 with 12x zoom Camera and 40”-60” Monitor BOM - Room based videoconferencing – Cisco Room Kitand 40”-60” Monitor BOM - Room based videoconferencing – Cisco Room Kit Plus and 40”-60” Monitor BOM - Room based videoconferencing – Cisco Room Kit Plus P60 and 40”-60” Monitor BOM – Room based videoconferencing – Polycom Group Series 310 with Acoustic Camera and 32”-40” Monitor BOM – Room based videoconferencing – Polycom Group Series 310 with 4x zoom Camera and 40”-60” Monitor BOM – Room based videoconferencing – Polycom Group Series 310 with 12x zoom Camera and 40”-60” Monitor BOM – Telesteth BOM - USB Peripheral - JedMed_Avizia HORUS Scope Camera 3 Lens Bundle Package BOM - USB Peripheral - JedMed_Avizia HORUS Scope Camera Surface (Dermascope) Lens Package BOM - USB Peripheral - JedMed_Avizia HORUS Scope Camera Otoscope Lens Package BOM - USB Peripheral - JedMed_Avizia HORUS Scope Camera General Viewing Lens Package BOM - USB Peripheral - GlobalMed TotalExam 3 Camera - 2 Lens and Polarizing Hood Bundle Package BOM - USB Peripheral - GlobalMed TotalExam 3 Camera – Exam Camera Lens Package BOM - USB Peripheral - GlobalMed TotalExam 3 Camera - 2 Lens Bundle Package BOM - USB Peripheral - GlobalMed TotalExam 3 Camera Exam Camera Lens and Polarizing Hood Package BOM - USB Peripheral - GlobalMed TotalExam 3 Camera - Otoscope Lens Package Spec Sheet – Desktop – Cisco DX80 Spec Sheet – MEDVu Clinical Cart equipped with Cisco or Polycom codecs Spec Sheet – Desktop – Polycom Group Convene Spec Sheet – MEDVu Retrofit Clinical Cart Spec Sheet – Mobile Room based videoconferencing Ergotron Cart Spec Sheet – Mobile Room based videoconferencing Versa-Vu Utility Cart Spec Sheet – Room based videoconferencing Wall Mounted Spec Sheet - USB Medical Peripheral - GlobalMed TotalExam 3 Camera Spec Sheet - USB Medical Peripheral – JedMed/Avizia HORUS Scope Camera Spec Sheet – Codec – Cisco Room Kit Plus Spec Sheet – Codec – Cisco Room Kit Spec Sheet – Codec – Cisco Room Kit Plus P60 Spec Sheet - eVisit Mobile Station 