Telemedicine Checklist Layout

[YOUR COMPANY NAME]
[YOUR COMPANY ADDRESS]
Email: [YOUR COMPANY EMAIL] | Phone: [YOUR COMPANY NUMBER]

Date: January 10, 2050

Task	Responsible Party	Deadline	Status	Comments
Verify internet connectivity	IT Team	January 5, 2050	Completed Pending	Ensure speed > 10 Mbps
Confirm secure video platform setup	IT Team	January 6, 2050	Completed Pending	Tested with 5 users
Review patient consent forms	Healthcare Provider	January 7, 2050	Completed Pending	Include all legal updates
Send appointment confirmation	Administrative Assistant	January 8, 2050	Completed Pending	Email and text sent to patients
Test device compatibility	Patient	January 9, 2050	Completed Pending	Checklist provided by [YOUR NAME]

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Patient Telemedicine Checklist

Date: January 11, 2050

• Confirm receipt of appointment details from [YOUR COMPANY NAME].

• Test your device (phone, tablet, or PC) for video/audio functionality.

• Ensure you are in a private, quiet space for the consultation.

• Have medical history, medications, and questions ready for the doctor.

• Complete and return any pre-consultation forms sent by [YOUR COMPANY EMAIL].

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Post-Consultation Checklist for Providers

Date: January 15, 2050

• Record notes in the patient’s electronic health record (EHR).

• Ensure prescriptions are sent to the correct pharmacy.

• Email post-visit instructions to patients via [YOUR COMPANY EMAIL].

• Review patient feedback to improve service.

• Conduct debrief meetings with the care team.

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For more information or to customize this checklist for your telemedicine services, contact [YOUR NAME] at [YOUR EMAIL] or call [YOUR COMPANY NUMBER] today!

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