Documentation for Launching a session and working with Clinical Video

Follow Up Exam Form

Clinical Documents Quick Links Technology Report Form Forms Fax Cover Sheet Follow Up Exam Form HIPAA Consent Form Resource Manuals Clinical Services Manual Part A Clinical Services Manual Part B Clinical Services Manual Part C Launching a session and working with Clinical Video TeleNICU Documents Forms Fax Cover Sheet Follow up Exam Form HIPAA Consent Form Reference and Training TeleNICU Resource Manual Telestroke Documents Forms Clinical Stroke Scale Documentation Form Fax Cover Sheet Follow-Up Exam Form HIPPAA Consent Form Memorial Medical Center Direct Admittance Preliminary Report

Patient HIPAA consent form

The Application Submission Checklist is a document that PI and grant staff can use to monitor the progress of the submission process.

Visit the Logan County Department of Public Health to learn more! http://lcdph.org/siu-medicine

Depending on the medical service you are looking for, listed are the operational hours for: Dental Clinic Monday - Thursday: 7:40 a.m. - 4:00 p.m. Medical Clinic Monday, Tuesday, Thursday: 8:00 am - 4:30 pm Wednesday and Friday: 8:00 am - 11:30 pm For an appointment call (217) 735-2317

To be completed if partnering with any external institution for subaward, consortium, or subcontract purposes.

If you are interested in making a difference, please support our cause. Donations may be made online at the secure SIU Foundation giving page . Please contact us if you have any questions.

If you are interested in making a difference, please support our cause. Donations may be made online at the secure SIU Foundation giving page . Please contact us if you have any questions.