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.


*Name

Contact Numbers

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

1st  Please select one:  Home Cell SMS Text Secure Message


2nd Please select one:  Home Cell SMS Text Secure Message


3rd  Please select one:  Home Cell SMS Text Secure Message


4th: Other

Type Of Pager Including Pager Company Name

 Alpha Numaric
Service # or Callers #
Pager Company:

Relay Instructions:

 All Medical Calls Emergency Refills Labs
If Emergency Calls Only then please define emergency below:
Consults

(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:
 Yes No

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Testimonials

Mountainside Hospital Family Practice

Susan and I have always appreciated their excellence in the customer service they provide the residency.

Ann Marie Jones (Residency Coordinator)


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