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:
Spam Protection: *
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