Patient Case Form:
To present a patient case, please complete the form above and e-mail it to Sarah Tea at firstname.lastname@example.org
Note: Do not include any patient identifying information on the form. ECHO is classified as educational and not a clinical consultation. There is no patient relationship made between the ECHO team and cases presented in an ECHO session.
Please complete the optional weekly survey, as your feedback helps us to improve the program and better meet your needs. This is also a requirement for the program to be accredited. All information is kept