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Five Rivers school-based telehealth services lifetime consent form

Five Rivers Lifetime Consent Form

By signing the consent, parents will authorize Five Rivers to provide school-based telehealth services to students in our buildings which is a great opportunity to fill the gap of basic health care needs.  The consent is good for the duration of the time the student is with us in Mad River.

Five Rivers Health Center and Mad River Local Schools
Telehealth Partnership

Mad River Local Schools is proud to announce a new partnership with Fiver Rivers Health Center to provide support for students who have medical needs that can be addressed immediately in our schools.

The partnership will allow for medical telehealth services for our school buildings to students whose parents give consent.  Students who need access will work directly with the school nurse to set appointments and follow-ups.  This service will assist families who either have a challenge accessing medical services or need immediate basic medical attention for their student (think of it as a virtual little clinic).  The new telehealth program will accept all insurances, including Medicaid eligible students, and provides a sliding fee scale for those who are uninsured or underinsured.  Our goal in Mad River Local Schools is to ensure we are providing the best complete wraparound service that we can for our community. This goal fits well with Five Rivers Health Center’s mission to provide access to quality, comprehensive and respectful care for their patients and community.

The partnership with Five Rivers Health Center will begin during the 2020-2021 school year and will be accessible at all MRLS buildings.  For your child to be eligible to access the telehealth services, you will be required to complete a consent form. The consent form will come out during the beginning of the 2020-2021 school year. The consent form will be available both through OneView (our online registration system) and hard copies located in each school building.  This service will not replace your primary care provider (unless you need a primary care provider.) This partnership is simply an additional service that Mad River Local Schools can provide for our students to help better meet their medical needs.

We look forward to this new partnership and continuing to meet the needs of our students in Mad River Local Schools.