If Family Members are present who can give a specialist a reliable history about the patient we can skip all other triage and get online with them now.
Family Contact Information
Please let us know the name and relationship of family present
This must be a mobile phone at which you can be easily contacted by text message if needed.
Please let me know whether a physician is communicating directly with the patient or with another person on their behalf
If you have any notes, documents, reports or medical images....you can email them directly and securely to firstname.lastname@example.org or fax directly to 888-905-3830