Important Documents
By accepting and joining the Virtual Visit, you consent to the following:
Medical treatment rendered.
Full explanation prior to any testing, procedure or referral and that you will be given an opportunity to decline or seek further information.
Assume all charges for the services when presented to me. Payment for services received is your responsibility unless other arrangements are made beforehand.
Authorization to release the required information from my medical record to any insurer or compensation carrier which requires that information to settle a claim on my behalf.
Benefits to be paid to this provider/office.
Acknowledgement of Patient’s Rights and Responsibilities information has been made available upon this visit.
If you would like a copy of your Patient’s Rights and Responsibilities, you obtain from the following links above or request a hard copy to be mailed to you.
Frequently asked questions about virtual care
A virtual visit is an appointment with a Dignity Health Medical Group Arizona provider using either video or telephone
It depends on your insurance coverage. If you are required to pay a co-pay during an in-person visit, then it will also apply for your video visit. You may receive a mailed request for payment.
It depends on your insurance coverage. If you are required to pay a co-pay during an in-person visit, then it will also apply for your video visit. You may receive a mailed request for payment.
You must have an internet-enabled device with a camera and a speakerphone such as a smartphone or tablet. Cellular data charges may apply if you are not using Wi-Fi for your connection, check with your carrier if you have questions about your data plan.