Customize Your Clinical Communication Preferences
As we provide care for your patients our priority is to ensure that you are fully informed regarding any consultations or treatment they receive. This includes such information as lab and radiology reports as well as Emergency Room Visits, Operative Reports, Discharge Summaries and much more.
In order for us to provide these clinical communications customized to your specific preferences we invite you to complete the form below. If you would prefer to submit your preferences via fax or email, you can download a fillable PDF version of the form here.
You can update or change these preferences at any time by simply submitting a new form.
If you have questions or would like to discuss your specific needs please call (559) 353-6621 or email firstname.lastname@example.org and our physician service team will be happy to assist you.
Please select and enter necessary information for clinical information your facility expects to receive in the form below.