PBC Provider Onboarding Form

PBC Provider Onboarding Form (TM Software)

A Telemedicine Software Company

 

 

Facility Information

 

Minimum requirements for inclusion in the Powered by ClickAClinic, Inc. National Provider Network.

 

  • Provider agrees to provide telemedicine consultations by the PBC HIPAA compliant video platform or by telephone as needed by the patient.
  • Provider must have an active Malpractice Insurance Policy.
  • A Valid License to practice in the state they are actively engaged in.
  • A Valid DEA approval to prescribe medications. (Note: We can assist you in reactivating your DEA number if that is applicable)
  • Sign Up For E-Prescribe (EPCS)
  • 4 Hours per week of open time in the provider’s appointment book that we can fill with potential consultations
  • No experience in Telemedicine or technology is required. ( We will train the provider on our system which is extremely simple to use)