Sample Patient Paperwork

Below you will find our sample paperwork. These samples will show exactly what we will be asking during your electronic check in when you arrive at our office. The sample paperwork is here for you to view; however, you will be required to put this information in using our Phreesia pads.

What is Phreesia?

We have invested in the latest technology available to serve you better! Phreesia, the paperless registration system, simplifies the check-in experience and helps us provide you with the best quality of care. Here are just a few of the many benefits of Phreesia:

• Phreesia makes sure your health records are accurate and up to date

• Phreesia offers a completely private check-in experience

• You are asked only questions that are relevant to your current health status

• Phreesia’s electronic format is completely legible and eliminates human error

To get a feel for what you can expect when checking in with Phreesia, check out this video.


All Patients

Patient Questionnaire

Financial Policies and Payments

For Men

For Women

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