Common Contracts
1 similar Portal Agreement contracts
Address: City: State: Zip: SS#: Home Phone: Work Phone: Fax: Cell Phone: E-Mail: Patient’s Employer: Phone: Address: City: State: Zip:Portal Agreement • April 22nd, 2020
The online patient portal is designed to improve physician and patient communication. After you are registered you will be able to do the following via the Patient Portal: Review your laboratory results, medical summary, medication list, treatment history, and visitation dates. The following will not be accepted through the patient portal: Requests for medical advice or medication refills. These requests must be made via office visit. Please call the office to schedule your appointment.
