{"content":[{"text":" \n ","bbox":{"left":0.147059,"top":0.090739,"width":0.010486999999999996,"height":0.04321499999999999}},{"text":"More efficient medical evaluation and management. \n Obtaining expertise of a distant specialist.","bbox":{"left":0.176471,"top":0.092755,"width":0.476882,"height":0.04113900000000001}},{"text":"Possible Risks:","bbox":{"left":0.117646,"top":0.155157,"width":0.16622,"height":0.022400000000000003}},{"text":"As with any medical procedure, there are potential risks associated with the \n use of telemedicine. The risks include, but may not be limited to: \n In rare cases, information transmitted may not be sufficient (e.g. poor \n resolution of images) to allow for appropriate medical decision making by \n the physician and consultant(s); \n Delays in medical evaluation and treatment could occur due to deficiencies \n or failures of the equipment; \n In very rare instances, security protocols could fail, causing a breach of \n privacy of personal medical information; \n In rare cases, a lack of access to complete medical records may result in \n adverse drug interactions or allergic reactions or other judgement errors;","bbox":{"left":0.176468,"top":0.201467,"width":0.690264,"height":0.22788200000000003}},{"text":"","bbox":{"left":0.147056,"top":0.241345,"width":0.010486999999999996,"height":0.021624999999999978}},{"text":"","bbox":{"left":0.147057,"top":0.303617,"width":0.010486999999999996,"height":0.021625000000000005}},{"text":"","bbox":{"left":0.147057,"top":0.345511,"width":0.010486999999999996,"height":0.021625000000000005}},{"text":"","bbox":{"left":0.147057,"top":0.387481,"width":0.010486999999999996,"height":0.021625000000000005}},{"text":"Patient Signature: _________________________ Date:_____________","bbox":{"left":0.117644,"top":0.578414,"width":0.752867,"height":0.022399999999999975}},{"text":"Guardian/POA Signature: _____________________ Date:_____________","bbox":{"left":0.117645,"top":0.717808,"width":0.7517739999999999,"height":0.022399999999999975}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}