When MSOs manage a clinical practice remotely or digitally (say as a telemedicine company) as well as brick-and-mortar practice clinical site, the MSO can benefit from clear agreements that help document the MSO’s management role, obligations, and fees. This set includes a questionnaire and explanatory report, an Agreement to manage a technology platform’s services, a sample spreadsheet to figure out profits and revenues, two sets of patient authorizations and another explanatory report, and a consent for telehealth.
This is a complete bundle of all MSO forms.
- MSO Questionnaire
- MSO Explanatory Report
- MSO Agreement (Practice Site)
- MSO Spreadsheet
- Platform Services & Licensing Agreement
- MSO Patient Authorization for Disclosure of PHI
- MSO Patient Authorization for Marketing
- MSO Authorizations Explanatory Report
- MSO Telehealth Consent