Please check the box below to confirm your acknowledgement and consent to participate as a community partner for the Show-Me ECHO project. I agree to: *
Participate collegially in regularly scheduled Show-Me ECHO conferences by presenting cases, providing comments and asking questions;
Provide clinical updates and de-identified outcome data on patients as needed;
Keep confidential any patient information provided by other community partners during a conference;
Complete periodic surveys to help improve services to clinicians and other partners;
Use required software including, but not limited to Zoom and Box;
Be solely responsible for the treatment of your patients and understand that all clinical decisions rest with you regardless of recommendations provided by other Show-Me ECHO participants and;
Ensure that your patients are aware of your participation in Show-Me ECHO and their de-identified information could be shared.
Be photographed and recorded during Show-Me ECHO sessions.