Individual Physician Instruction

    Please include as much information as possible regarding your preferred call relay instructions to assist us in handling your important messages efficiently.


    Contact Numbers

    Please list in preferred order & indicate if we should only use home number after a certain time.

    1st  Please select one: HomeCellSMS TextSecure Message

    2nd Please select one: HomeCellSMS TextSecure Message

    3rd  Please select one: HomeCellSMS TextSecure Message

    4th: Other

    Type Of Pager Including Pager Company Name


    Service # or Callers #

    Pager Company:

    Relay Instructions:

    All Medical CallsEmergencyRefillsLabs

    If Emergency Calls Only then please define emergency below:


    (Relay as they come in or relay until a certain time then hold next day consults for call out at what time)

    Additional Special Instructions:

    Are You Available For Non PTS After Hours:

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