Practis Forms - Secure Patient Forms
Version 2.0 Now Available!
On-line patient forms provide an easy, affordable and secure way for medical practices to communicate with patients while protecting health information as required by HIPAA.
Standard Forms Available
| Prescription Renewal Referral Request Patient Registration Appointment Request PT/OT Renewal Workers Comp |
Online Bill Pay Image/Film Request - Radiology P/E Request Form - Peds Contact Your Provider Patient Assessment Referring Consult Form |
Secure On-line Bill Pay
Allow patients to pay their account balance conveniently and securely through your own website. We have three different options available to support your needs. Learn more >
Secure On-line Exam Requisition Form
Radiology groups - allow your referring physicians to securely log-in and request an exam through your website.. We have a standard online request form that can be customized to your requirements. Contact us at 800-238-0095 to inquire.
Form Benefits
Security
HIPAA rules advise that the electronic transfer of and access to protected health information be addressed through the use of encryption and authentication.
Improved Workflow
Automated, customized message routing directs each type of form results message to the most appropriate staff member that you determine. Completion of secure online form eases the workflow issues in your office.
Specifically:
- Patients and request and office staff can efficiently process patient appointment, prescription renewal, referral requests at a time that is convenient for them.
- Online pre-registration allows you to check eligibility of insurance information prior to patient visits.
- Online forms save patient and office staff time.
- Securely ask questions of billing staff and nursing staff.
- Opportunity to capture email addresses for practice announcements or communication.
Structured Content
Using our forms ensures that you collect the information that you need, in the format that you require. This helps to reduce call backs and make your practice operate more efficiently when processing patient requests.
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