ATA's Accreditation Program for Online Patient Consultations
   

Accreditation Program Registration Form

Thank you for your interest in the American Telemedicine Association’s (ATA) Accreditation Program for Online Patient Consultations. To receive Program information, please complete the registration form below and click submit. Upon receipt of your completed registration form, ATA will email Program materials appropriate to the type of Organization being registered.  Eligible Organizations will receive the following materials:  ATA Administrative Rules & Terms, ATA Standards and Guidance, Application Form, Program Overview, and Fee Schedule.

Contact Information

Is this organization a member of ATA?

Please indicate the type of Organization registering (check all the apply).










If you are a provider of telemedicine services, please indicate the types of services you offer (check all that apply).








Eligibility Questions

Does this entity/organization provide online healthcare consultative services in the US ?

Does this entity/organization directly operate a website through which real-time, online consultative services are provided to consumers/patients?

How are these real-time, online patient consultative services provided? (Check all that apply)





Are these online patient consultative services provided by licensed healthcare providers?


Thank you for your interest in the ATA Accreditation Program for Online Patient Consultations.