School-Based Telehealth Consent Form

Should your child get sick at school, virtual school-based health is a way to have your child seen by a St. Elizabeth Physicians provider through video conferencing. The provider is then able to diagnose your child and call in prescriptions to your pharmacy, if needed. 

Your child will go to the school nurse's office to be examined. If the nurse determines that a telehealth visit with a St. Elizabeth Physicians provider is appropriate, the parent or guardian will be contacted first. 

No, all students are welcome to participate in the program. However, preregistration in the program by the parent is required. An after-visit summary will be sent to your child's primary care provider. 

Many conditions can be diagnosed and treated through telehealth, ranging from minor acute issues such as sore throat, ear pain or injury to reoccurring chronic issues like asthma. If the provider feels that your child needs additional testing or an in-person visit, they will help guide appropriately. If additional testing is warranted, school nurse may facilitate testing for certain conditions if available.

This program offers the convenience of having your child diagnosed by a healthcare expert and prescriptions sent to your pharmacy, all while remaining at school and in most cases, you remaining at work. 

You will be contacted by the school nurse with the appointment information as well as an invitation to participate via 3-way video.

If you are unable to participate in the visit, a St. Elizabeth Physicians team member will contact you to review recommendations. 

The virtual visit will be billed to your insurance on file, similar to a standard office visit. Please check with your insurance carrier for coverage of Telemedicine Video Visits. If your child does not have the insurance, we'll send you an invoice for the cost of the services. 

No. While we do encourage enrollment, you do have the option to decline the video visit when you are contacted that day.