Remote Patient Monitoring Services

What Is Remote Patient Monitoring

Remote patient monitoring is a technology to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs and Improve Patient Care

How does remote patient monitoring work?

Remote Patient Monitoring (RPM) Remote patient monitoring (RPM) uses digital technologies to collect medical and other forms of health data from individuals in one location and electronically transmit that information securely to health care providers in a different location for assessment and recommendations.

What Are the Benefits of Remote Patient Monitoring (RPM) for Patients?

  1. Improved Quality: RPM improves patient behavior by creating a system by which people are more engaged with, and accountable for, their health.
  2. Assurance: Important as patient comfort and engagement are, the benefits of remote patient monitoring go beyond that, offering patients invaluable assurance that someone is watching out for their health and well-being on a daily basis.

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Patient Details

Date of Birth*
Medical Devices Supplied to Patient*
The following Medical Devices have been provided to me (the “Medical Devices”):
By signing this Patient Consent Form, I hereby consent to TEXAS KIDNEY INSTITUTE (the “Provider”) providing Remote Patient Monitoring (RPM) services (the “RPM Services”) to me and agree to the following : Please initial every box

Patient Consent

Patient's Signature*
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Clinician's Signature
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In the event that the patient is unable to give consent due to mental or other capacity issues, the relative, or carer who has Lasting/Durable Power of Attorney for health and welfare responsibility, may give consent if deemed to be in the best interest of the patient. In these instances the carer/relative should sign below.
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Electronic Signature Agreement

By selecting the "I Accept" button, you agree your electronic signature (hereafter referred to as "E-Signature") is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept", you consent to be legally bound by this Agreement's terms and conditions. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Texas Kidney Institute. You also represent that you are authorized to enter into this Agreement and that you will be bound by the terms of this Agreement.
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