We are now able to see patient’s via Telehealth appointments when appropriate.
If you have a Telehealth Appointment scheduled, please fill out this Telehealth Consent form.
You will need to email this form to firstname.lastname@example.org with the subject line being the patient’s name PRIOR to the appointment time. We cannot see Telehealth Appointments without this form. This email is for Telehealth Consent Forms only.
We kindly ask
Patients come alone to their appointments (Unless the patient is a minor or the patient has a legal Power of Attorney)
Reschedule your appointment if you have a fever, even low-grade, cough, shortness of breath, difficulty breathing, or any respiratory symptoms. If you have had any of these symptoms in the past 14 days we request that you remain home, contact your primary care physician, and reschedule your appointment with us.