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Available Forms

Add Link to Web Page AJBMD-Consult or Followup AJBMD-MD Nurse Notify that Patient Ready AJBMD-Meet Dr Barbash by Video AJBMD-Nurse Ready for Neurology Case AJBMD-Send Me a Text AJBMD-SOC CCC Request for Dr Barbash Apractis Clinic Library Access Request Confirm Updox Login Family Available for Consult Info Now Family Contact Information General Neurology Request-with CCC contact Go To Assist Code Request NeuroDox--Create New User within Virtual Clinic Notify Andrew Barbash, MD that Patient is Ready NowDox-ED Neuro Triage Form NowDox-Nurse Ready for Neurology Case Nurse/Care Manager Secure Message for Andrew Barbash, MD Other Hospital or Facility Neurology Advice (Physician/Mid-Level Use Only) Patient/Family Caregiver Registration Patient/Family Caregiver Request Virtual Care PERSONAl/MY FAMILY ONLY-From Ellie to Andy Physicians/Mid-Levels Secure Message for Andrew Barbash, MD Podio Access Request Radiologist Report of Neuro Imaging Secure Messaging Registration with Andrew Barbash, MD Setup Zoom Room Notification Form ShareFile Secure Folders Registration SOC CCC GN Intake Form Team Meeting TEST-Acute Stroke Quick Intake TEST-Neuro 911-Stroke but TPA less likely TEST-Neuro 911-TPA Exclusion List TEST-Neuro 911-TPA Probable TESTING-General Neurology Request TESTING-Hospital Neurology Request-NeuroDox Form TESTING-Neurology Followup Updox Clinician Invite Request-General Neurology Updox Connect Request Updox Healthcare Professional Registration Updox Login Request VC-Colorado-Centura Teleneurology Message Form (Physician/Mid-Level Use Only) VC-Florida-(Physician/Mid-Level Use Only) VC-Holy Cross Clinics (first time user) VC-Holy Cross Clinics (Returning User) VC-Maine VC-Massachusetts-Neurology VC-Neurology-Curbside Advice VC-Neurology-Lake Norman Clinic VC-North Carolina VC-Virginia (Physician/Mid-Level Use Only) Virtual Care Primary Care Patient Registration Virtual Clinic HelpDesk Virtual Clinic-Request New Member Invite Request Entry to My Zoom Video Room-AJBMD Virtual Care Request (Physician/Mid-Level Use Only) Web Message for Dr Barbash
TEST-Acute Stroke Quick Intake

Acute Stroke Instant Triage

DEMO TESTING...ONLY PHYSICIANS SHOULD USE THIS FORM. The purpose of this form is to give the teleneurologists a quick idea of how likely it is that this would be a TPA case needing instant video.

A number that can receive an SMS text message immediately
The nurse who we will contact directly to arrange the video consulthttps://myupdox.com/ui/interim/img/drag_bar.png
 
 
 
 
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