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.
What’s Included:
- 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
Disclaimer: All content in this document has been prepared for informational purposes only and is not legal advice. Transmission of this information is not intended to create, and receipt does not constitute, an attorney-client relationship. You should not act upon this information without seeking professional counsel. This form provides sample language but provides no warranty, guarantee or assurance of freedom from enforcement action or scrutiny. See full Disclaimer.