Project ECHO at Tulane University Case Presentation Form - MAT
Please read this information before filling this form. Please be sure that you have already received an approval from signing up on this site. You can find more information about Medication-Assisted Treatment (MAT) here. You will be assigned an ECHO ID for each patient case presented though email once your case has been preliminarily approved.
PLEASE NOTE: Project ECHO case consultations do not create or otherwise establish a provider-patient relationship between any panel member and any patient whose case is being presented in a project ECHO setting. Always use ECHO ID# when presenting a patient in clinic. Sharing patient name, initials or other identifying information violates HIPAA privacy laws.