SIU Secure Documents

Clinical Documents

Quick Links

1. Technology Report Form

Forms

1. Fax Cover Sheet
2. Follow Up Exam Form
3. HIPAA Consent Form

Resource Manuals

1. Clinical Services Manual Part A
2. Clinical Services Manual Part B
3. Clinical Services Manual Part C
4. Launching a session and working with Clinical Video

TeleNICU Documents

Forms

1. Fax Cover Sheet
2. Follow up Exam Form
3. HIPAA Consent Form

Reference and Training

1. TeleNICU Resource Manual

Telestroke Documents

Forms

1. Clinical Stroke Scale Documentation Form
2. Fax Cover Sheet
3. Follow-Up Exam Form
4. HIPPAA Consent Form
5. Memorial Medical Center Direct Admittance Preliminary Report

Reference and Training

1. NIH Stroke Scale Reference Book
2. Real Presence Login Information
3. TeleStroke Quick Guide
4. TeleStroke YouTube Links