ContractPatient Portal Agreement • August 27th, 2012
The office of Dr. Mark Swetz is pleased to provide you with the ability to access different parts of your medical record by using our Patient Portal Program (the "Patient Portal"). By requesting to set up such access and an account with Patient Portal, you agree to the following terms and conditions. Please note that your failure to follow these terms and conditions can result in the termination of your account with Patient Portal.
Phoebe Health System Hospital Portal AgreementPatient Portal Agreement • September 7th, 2017
Phoebe Putney Health System, Inc. is pleased to provide you with the ability to access some parts of your medical record by using our Patient Portal Program (the "Patient Portal"). By requesting to set up such access and an account with Patient Portal, you agree to the following terms and conditions.
Alabama Family Practice, P.C.Patient Portal Agreement • May 16th, 2022
This is voluntary and in no way should take the place of an office visit. The labs will be posted within 10 days of the lab draw. If you have not heard the results you should call the office to inquire about your results. Prescriptions will be filled as usual during the office visit for maintenance medications and still require an office visit.
Cardiovascular Specialists of Frederick, Patient Portal AgreementPatient Portal Agreement • June 9th, 2017
Cardiovascular Specialists of Frederick, LLC is pleased to offer the NextMD patient portal, allowing electronic viewing of your medical information. The Patient Portal is a convenient way to reach your care team at Cardiovascular Specialists of Frederic, LLC. Using the Patient Portal may work better for you than a phone call because you and your care team don’t need to be available at the same time. You can typically expect an answer from the portal within two business days (a business day is defined as Monday thru Friday 8:00 a.m. – 5:00 p.m., excluding holidays and closures due to inclement weather, power outages or other unforeseen circumstances).
Plymouth Family Physicians Updox Patient Portal AgreementPatient Portal Agreement • May 16th, 2019
By signing this Agreement I agree to the following rules for utilizing the Updox Patient Portal from Plymouth Family Physicians, ("the Practice" or "PFP"). The patient portal is used to view the patient's chart information and to view and/or send messages to and from his/her health care providers.
Fort Bend Rheumatology Associates Patient Portal AgreementPatient Portal Agreement • June 4th, 2014
Fort Bend Rheumatology Associates are pleased to provide you with the ability to access different parts of your medical record by using our Patient Portal Program (the "Patient Portal"). By requesting to set up such access and an account with Patient Portal, you agree to the following terms and conditions. Please note that your failure to follow these terms and conditions can result in the termination of your account with Patient Portal.
Patient Portal AgreementPatient Portal Agreement • December 16th, 2016
Patient Portal AgreementPatient Portal Agreement • April 17th, 2014
of its established patients. The patient portal is designated to enhance patient-physician communications. All users must be established by a previous office visit.
MEADVILLE PEDIATRICS, PC PATIENT PORTAL AGREEMENTPatient Portal Agreement • March 21st, 2014
Meadville Pediatrics, PC is pleased to provide you with the ability to access different parts of your child's medical record by using our Patient Portal Program (the "Patient Portal"). By requesting to set up such access and an account with Patient Portal, you agree to the following terms and conditions. Please note that your failure to follow these terms and conditions can result in the termination of your account with Patient Portal.
Updox Patient Portal AgreementPatient Portal Agreement • September 13th, 2021
By signing this Agreement, I agree to the following rules for utilizing the Updox Patient Portal from Kymera Independent Physicians (“the Practice”). The patient portal is used to view the patient’s chart information and to view and/or send messages to and from his/her health care providers.
Address: City: State: Zip: SS#: Home Phone: Work Phone: Fax: Cell Phone: E-Mail: Patient’s Employer: Phone: Address: City: State: Zip:Patient 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.
Cardiovascular Specialists of Frederick, Patient Portal AgreementPatient Portal Agreement • September 18th, 2015
Cardiovascular Specialists of Frederick, LLC is pleased to offer the NextMD patient portal, allowing electronic viewing of your medical information. The Patient Portal is a convenient way to reach your care team at Cardiovascular Specialists of Frederic, LLC. Using the Patient Portal may work better for you than a phone call because you and your care team don’t need to be available at the same time. You can typically expect an answer from the portal within two business days (a business day is defined as Monday thru Friday
Patient Portal AgreementPatient Portal Agreement • September 15th, 2020
Margolin, Keinarth & Alberda M.D. provides this site in partnership with e-MDs for the exclusive use of its established patients. The patient portal is designated to enhance patient-physician communications. All users must be established by a previous office visit.
TMO Medical YJH MedicalPatient Portal Agreement • February 1st, 2022
This practice strives to keep all of the information in your records correct and complete. If you identify any discrepancy in your records, you agree to notify us immediately. Additionally, by using the Patient Portal, the user agrees to provide factual and correct information.
MEADVILLE PEDIATRICS, PC PATIENT PORTAL AGREEMENT 2021Patient Portal Agreement • March 23rd, 2021
Meadville Pediatrics, PC is pleased to provide parents/guardians with the ability to access different parts of your child's medical record by using our Patient Portal Program (the "Patient Portal"). By requesting to set up such access and an account with Patient Portal, you agree to the following terms and conditions. Please note that your failure to follow these terms and conditions can result in the termination of your account with Patient Portal.
Southwest Georgia Regional Medical Center Patient Portal Agreement TERMS AND CONDITIONSPatient Portal Agreement • May 1st, 2018
Southwest Georgia Regional Medical Center (SGRMC) is pleased to provide you with the ability to access some parts of your medical record by using our SGRMC Patient Portal. By requesting to set up such access and an account with SGRMC Patient Portal, you agree to the following terms and conditions.
EASTSIDE INTERNAL MEDICINE PATIENT PORTAL AGREEMENTPatient Portal Agreement • March 16th, 2021
Secure messaging can be a valuable communications tool, but has certain risks. In order to manage these risks we need to impose some conditions of participation. This form is intended to show that you have been informed of these risks and the conditions of participation, and that you accept the risks and agree to the conditions of participation.
Urology Partners Patient Portal Agreement And ConsentPatient Portal Agreement • November 30th, 2018
Please DO NOT use Patient portal to communicate with Urology Partners for urgent or emergency medical issues. If you are experiencing an urgent medical need, please contact us by telephone at 941.792.0340.
Patient Portal AgreementPatient Portal Agreement • April 22nd, 2019
We strive to keep all of the information in your records correct and complete. If you identify any discrepancy on your record, you agree to notify us immediately. Additionally, by using the patient portal, the user agrees to provide factual and correct information.
Patient Portal AgreementPatient Portal Agreement • October 4th, 2014
Albemarle Square Family Healthcare, A Division of Anchor Healthcare, PLC (hereafter “ASFHC”) PATIENT PORTAL TERMS AND CONDITIONS
Patient Portal Agreement – Medical Associates of Drexel HillPatient Portal Agreement • March 7th, 2019
The patient portal is a web-based system that allows for secure communications and transfer of information between the physicians and the patient.
