Armadale Health Service - Suitability assessment Telehealth to the HOME

This appointment has been identified as suitable for video consultation. Please answer the following questions to determine if you can participate in a video consultation from home.

Can you watch a YouTube video or something similar on your device, at the location that your appointment will occur? If yes, a video consultation is likely to be possible using your internet connection Yes No

This may mean that Telehealth at Home isn't suitable for this appointment. Please contact us for further information.

Are you confident using technology and the device you would use for a video consultation? (computer, laptop, tablet or mobile) Yes No Comments Do you have someone that could help you with your device set-up or be available to assist during your appointment? Yes No Not needed Do you agree to a video consultation acknowledging it will use your personal internet data? A typical 20 minute video consultation uses roughly 450MB of data on a computer, or 230MB on a mobile. This is half the data of a high definition YouTube video. Yes No Do you consent to receive information regarding your outpatient appointment via email? Note: this information is confidential and will only be used for communication regarding your outpatient appointment booking details. Yes No

Please provide your email address

Suitability Assessment - Telehealth to the HOME