Standards › Standard 27 › Forms
Form · TEL-FRM-004 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 27.13
Purpose
Records the identity check and the privacy check at the start of each remote consultation.
How to complete
- Confirm the patient’s identity with a second identifier.
- Record who else is present.
- Record whether the consultation is private, or stop it.
Checks
| Check | Entry |
|---|---|
| Consultation (date, ID) | Yes |
| Identity confirmed (second identifier) | Yes |
| Others present (names or none) | Yes |
| Private consultation (yes or no) | Yes |
| Clinician | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Recommendations on digital interventions for health system strengthening (2019) and the WHO Ethics and governance of artificial intelligence for health (2021). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)