{"id":257,"date":"2024-03-03T03:47:06","date_gmt":"2024-03-03T03:47:06","guid":{"rendered":"http:\/\/www.adawestdermatology.com\/?page_id=257"},"modified":"2025-01-09T11:19:50","modified_gmt":"2025-01-09T18:19:50","slug":"patient-forms-medical-release","status":"publish","type":"page","link":"https:\/\/www.adawestdermatology.com\/patient-forms-medical-release\/","title":{"rendered":"Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"257\" class=\"elementor elementor-257\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a961b94 e-flex e-con-boxed e-con e-parent\" data-id=\"a961b94\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b591d79 animated-fast elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"b591d79\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Forms<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df3db0b e-flex e-con-boxed e-con e-parent\" data-id=\"df3db0b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a84a47a e-con-full cus-common-col e-flex e-con e-child\" data-id=\"a84a47a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0cd8a4f elementor-widget elementor-widget-spacer\" data-id=\"0cd8a4f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-29688b1 e-con-full cus-common-col e-flex e-con e-child\" data-id=\"29688b1\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed77319 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"ed77319\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Patient Forms<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a5ee79 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"0a5ee79\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>After you schedule your appointment, you will receive an email from our Patient Portal with the title: Welcome to Your Ada West Dermatology Patient Portal. This email will give you a link to activate your account where you can <strong>finish paperwork online<\/strong>.<\/p><p><strong>Option 1: Fill Out Online<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e3e0cf animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"4e3e0cf\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/sso.ema.md\/auth\/realms\/Modmed\/protocol\/openid-connect\/auth?response_type=code&amp;client_id=ema&amp;redirect_uri=https%3A%2F%2Fadawest.ema.md%2Fema%2Fsso%2Flogin&amp;state=10a2a157-2259-4a48-a92a-a0ab1879e72e&amp;login=true&amp;login_hint=R0RQUl9DT09LSUU9cHJvdmlkZXI7UkVWSVNJT049ZjgzOTlkYzU5NTtET01BSU49YWRhd2VzdC5lbWEubWQ7T1JJR0lOPS9lbWEvUGF0aWVudExvZ2luLmFjdGlvbjtGSVJNX0xPR089YWRhX3dlc3RfbG9nb19sYXJnZV8xLkpQRztNQVJLRVRJTkdfQkFOTkVSPVRSVUU7RklSTV9OQU1FPUFkYSBXZXN0IERlcm1hdG9sb2d5O09GRkxJTkVfQUNDRVNTPUZBTFNFO01FRElDQUxfRE9NQUlOPWRlcm1hdG9sb2d5O1ZFUlNJT049Ny41LjkuMTtHRFBSPVRSVUU7TU9CSUxFPUZBTFNF&amp;scope=openid\" target=\"_blank\" rel=\"noopener\"><strong>Login to Patient Portal and complete forms<\/strong><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-201d5bb animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"201d5bb\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you do not activate your portal within 72 hours, you will need to call our office at <a href=\"tel:12088843376\">(208) 884-3376<\/a> during business hours to re-activate it.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5ca603 elementor-widget elementor-widget-text-editor\" data-id=\"f5ca603\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Option 2: Print and Bring Patient Forms<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da3ef1c animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"da3ef1c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2024\/07\/Adult-PIF-7-10-24.pdf\">Adult Patient Information Form<\/a><\/li><li><a href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2024\/10\/HIPAA-Authorization_MR-4-19-23.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA Authorization<\/a><\/li><li><a href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2025\/01\/Consent-Conditions-of-Service_2024.12.16.v2.pdf\">Consent &amp; Conditions of Service<\/a><\/li><li><a href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2024\/07\/Ped-PIF-7-10-24.pdf\">Pediatric Patient Information Form<\/a><\/li><li><a href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2025\/01\/2024-07-01-Consent-to-Treat-Unaccompanied-Minor-CTM_v.2.pdf\">Consent to Treat Unaccompanied Minor (optional)<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e4d95b e-flex e-con-boxed e-con e-parent\" data-id=\"6e4d95b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-379bb6b e-con-full cus-common-col e-flex e-con e-child\" data-id=\"379bb6b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b75235d elementor-widget elementor-widget-spacer\" data-id=\"b75235d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b2f4fc6 e-con-full cus-common-col e-flex e-con e-child\" data-id=\"b2f4fc6\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-091e401 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"091e401\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What to bring to your appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9c589b elementor-widget elementor-widget-text-editor\" data-id=\"b9c589b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At your first scheduled appointment, please bring:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7120f91 elementor-widget elementor-widget-text-editor\" data-id=\"7120f91\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Your Completed Patient information form(s) (or complete online)<\/li><li>Your driver\u2019s license<\/li><li>Your medical insurance card(s)<\/li><li>Your referral authorization (if applicable)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8dcb3c0 e-flex e-con-boxed e-con e-parent\" data-id=\"8dcb3c0\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3ea6838 e-con-full cus-common-col e-flex e-con e-child\" data-id=\"3ea6838\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c53bfb elementor-widget elementor-widget-spacer\" data-id=\"6c53bfb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-794a705 e-con-full cus-common-col e-flex e-con e-child\" data-id=\"794a705\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63ec990 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"63ec990\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medical Records Requests<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fcf3ac3 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"fcf3ac3\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Form 1:\u00a0<\/strong><a href=\"\/wp-content\/uploads\/2024\/03\/Records-Request_-HIM.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Request Records from Another Medical Office to Ada West Dermatology<\/a><\/li><li><strong>Form 2:<\/strong>\u00a0<a href=\"\/wp-content\/uploads\/2024\/03\/Records-Release_-MR-5-2-23.pdf\">Send Your Ada West Dermatology Records to Another Medical Office<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0cb6a07 e-flex e-con-boxed e-con e-parent\" data-id=\"0cb6a07\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-cd75d6f e-con-full cus-common-col e-flex e-con e-child\" data-id=\"cd75d6f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-380125a animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"380125a\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Surgical Instructions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2cd8cd2 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"2cd8cd2\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Pre-operative Care Instructions<\/strong><br \/>For the patient that will be undergoing an outpatient procedure at our clinic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad2eb4d animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"ad2eb4d\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n \t<li>Surgical Information:\u00a0<a href=\"\/wp-content\/uploads\/2024\/05\/Genereral-Pre-op-instructions.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-operative Patient Instructions<\/a><\/li>\n \t<li>Mohs Surgery:\u00a0<a href=\"\/wp-content\/uploads\/2024\/05\/Mohs-brochure-booklet_update_042524_rev2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-operative Instructions<\/a><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f75fd58 e-con-full cus-common-col e-flex e-con e-child\" data-id=\"f75fd58\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ab6d88c animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"ab6d88c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Post-operative Care Instructions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74971c5 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"74971c5\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For the patient that has already undergone an outpatient procedure at our clinic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14fe259 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"14fe259\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n \t<li>Surgical Information:\u00a0\u00a0<a href=\"\/wp-content\/uploads\/2024\/03\/PostOperative_instructions.pdf\">Post Operative Instructions<\/a><\/li>\n<\/ul>\n<ul>\n \t\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d44046 e-flex e-con-boxed e-con e-parent\" data-id=\"1d44046\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-287a387 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"287a387\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Telehealth Device Setup<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7c29b5 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"d7c29b5\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you have an upcoming Doxy.me telehealth virtual appointment, your smartphone\/tablet will need to be setup before the first visit. This is a one-time setup that will allow your device\u2019s camera and microphone to connect to your clinician by live video in a virtual exam room on the Doxy.me website. Just click on the device-specific instruction set that applies to you\u2013instructions on page 2 are also included on what website to link up to based on your scheduled provider:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ccadde elementor-align-center animated-fast elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-invisible elementor-widget elementor-widget-icon-list\" data-id=\"8ccadde\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/wp-content\/uploads\/2024\/03\/Telehealth-Android-Doxy-Setup-v1_6.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-link\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M326.612 185.391c59.747 59.809 58.927 155.698.36 214.59-.11.12-.24.25-.36.37l-67.2 67.2c-59.27 59.27-155.699 59.262-214.96 0-59.27-59.26-59.27-155.7 0-214.96l37.106-37.106c9.84-9.84 26.786-3.3 27.294 10.606.648 17.722 3.826 35.527 9.69 52.721 1.986 5.822.567 12.262-3.783 16.612l-13.087 13.087c-28.026 28.026-28.905 73.66-1.155 101.96 28.024 28.579 74.086 28.749 102.325.51l67.2-67.19c28.191-28.191 28.073-73.757 0-101.83-3.701-3.694-7.429-6.564-10.341-8.569a16.037 16.037 0 0 1-6.947-12.606c-.396-10.567 3.348-21.456 11.698-29.806l21.054-21.055c5.521-5.521 14.182-6.199 20.584-1.731a152.482 152.482 0 0 1 20.522 17.197zM467.547 44.449c-59.261-59.262-155.69-59.27-214.96 0l-67.2 67.2c-.12.12-.25.25-.36.37-58.566 58.892-59.387 154.781.36 214.59a152.454 152.454 0 0 0 20.521 17.196c6.402 4.468 15.064 3.789 20.584-1.731l21.054-21.055c8.35-8.35 12.094-19.239 11.698-29.806a16.037 16.037 0 0 0-6.947-12.606c-2.912-2.005-6.64-4.875-10.341-8.569-28.073-28.073-28.191-73.639 0-101.83l67.2-67.19c28.239-28.239 74.3-28.069 102.325.51 27.75 28.3 26.872 73.934-1.155 101.96l-13.087 13.087c-4.35 4.35-5.769 10.79-3.783 16.612 5.864 17.194 9.042 34.999 9.69 52.721.509 13.906 17.454 20.446 27.294 10.606l37.106-37.106c59.271-59.259 59.271-155.699.001-214.959z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Android Phone\/Tablet Patient Doxy.me Setup and Connection Instructions<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/wp-content\/uploads\/2024\/03\/Telehealth-iPhone-iPad-Doxy-Setup-v1_6.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-link\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M326.612 185.391c59.747 59.809 58.927 155.698.36 214.59-.11.12-.24.25-.36.37l-67.2 67.2c-59.27 59.27-155.699 59.262-214.96 0-59.27-59.26-59.27-155.7 0-214.96l37.106-37.106c9.84-9.84 26.786-3.3 27.294 10.606.648 17.722 3.826 35.527 9.69 52.721 1.986 5.822.567 12.262-3.783 16.612l-13.087 13.087c-28.026 28.026-28.905 73.66-1.155 101.96 28.024 28.579 74.086 28.749 102.325.51l67.2-67.19c28.191-28.191 28.073-73.757 0-101.83-3.701-3.694-7.429-6.564-10.341-8.569a16.037 16.037 0 0 1-6.947-12.606c-.396-10.567 3.348-21.456 11.698-29.806l21.054-21.055c5.521-5.521 14.182-6.199 20.584-1.731a152.482 152.482 0 0 1 20.522 17.197zM467.547 44.449c-59.261-59.262-155.69-59.27-214.96 0l-67.2 67.2c-.12.12-.25.25-.36.37-58.566 58.892-59.387 154.781.36 214.59a152.454 152.454 0 0 0 20.521 17.196c6.402 4.468 15.064 3.789 20.584-1.731l21.054-21.055c8.35-8.35 12.094-19.239 11.698-29.806a16.037 16.037 0 0 0-6.947-12.606c-2.912-2.005-6.64-4.875-10.341-8.569-28.073-28.073-28.191-73.639 0-101.83l67.2-67.19c28.239-28.239 74.3-28.069 102.325.51 27.75 28.3 26.872 73.934-1.155 101.96l-13.087 13.087c-4.35 4.35-5.769 10.79-3.783 16.612 5.864 17.194 9.042 34.999 9.69 52.721.509 13.906 17.454 20.446 27.294 10.606l37.106-37.106c59.271-59.259 59.271-155.699.001-214.959z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">iPhone\/iPad Patient Doxy.me Setup and Connection Instructions<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f64c6b elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-tablet_extra elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"6f64c6b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"\/wp-content\/uploads\/2024\/03\/Telehealth-Android-Doxy-Setup-v1_6.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Android Phone\/Tablet Patient Doxy.me Setup and Connection Instructions<\/a><\/span><\/li><li><a href=\"\/wp-content\/uploads\/2024\/03\/Telehealth-iPhone-iPad-Doxy-Setup-v1_6.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">iPhone\/iPad Patient Doxy.me Setup and Connection Instructions<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a084ac4 animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"a084ac4\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Once you have setup your device using the above instructions, please go to this website to test\/verify your setup before your virtual appointment:\u00a0<a href=\"https:\/\/doxy.me\/precall-test\/\">https:\/\/doxy.me\/precall-test\/<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1198157 e-flex e-con-boxed e-con e-parent\" data-id=\"1198157\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ded26d4 elementor-widget elementor-widget-button\" data-id=\"ded26d4\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"http:\/\/www.adawestdermatology.com\/wp-content\/uploads\/2024\/12\/Notice-of-Privacy-Practices-Final-v2.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Notice of privacy Practices<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Patient Forms After you schedule your appointment, you will receive an email from our Patient Portal with the title: Welcome to Your Ada West Dermatology Patient Portal. This email will give you a link to activate your account where you can finish paperwork online. Option 1: Fill Out Online Login to Patient Portal and complete [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-257","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient Forms - Ada West Dermatology Meridian Boise Nampa Eagle Kuna<\/title>\n<meta name=\"description\" content=\"New Patient Forms. Medical Records Release Forms. Telehealth Setup. Surgical Instructions.Ada West Dermatology is a full service outpatient medical office that is committed to providing comprehensive and complete dermatologic care in the Treasure Valley. We treat all skin conditions. We also have a Mohs surgeon onsite.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adawestdermatology.com\/patient-forms-medical-release\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Forms - Ada West Dermatology Meridian Boise Nampa Eagle Kuna\" \/>\n<meta property=\"og:description\" content=\"New Patient Forms. Medical Records Release Forms. Telehealth Setup. Surgical Instructions.Ada West Dermatology is a full service outpatient medical office that is committed to providing comprehensive and complete dermatologic care in the Treasure Valley. We treat all skin conditions. 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