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  • Faceyconnect

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PATIENT PORTAL (PROXY) USER AGREEMENT Facey Medical Group, in partnership with Jardogs, Inc., offers the FollowMyHealth (FMH) Patient Portal FaceyConnect for the exclusive use of our established patients.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

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How to fill out the Faceyconnect online

Filling out the Faceyconnect Patient Portal User Agreement is a straightforward process that enhances communication between you and your healthcare provider. This guide provides step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the Faceyconnect form online

  1. Click ‘Get Form’ button to obtain the Faceyconnect User Agreement and open it in your editor.
  2. Provide your personal information in the designated fields, including your name and date of birth. Ensure that this information matches what is on your identification.
  3. If you are a parent or legal guardian filling out the form for a minor, complete the additional section by providing your name, relationship to the patient, and contact information.
  4. Read through the Patient Portal User Agreement carefully to ensure that you understand the terms and conditions. It is important to know your rights and responsibilities as a user of the portal.
  5. Once you have read and agreed to the terms, sign and date the agreement in the appropriate fields. Make sure your signature is clear.
  6. Prepare to submit the form by ensuring that you also have a valid email address and a copy of your picture identification handy, as these will be required to complete your registration.
  7. After ensuring all information is completed accurately, save changes to the document, and follow your preferred method to download, print, or share the agreement.

Complete the Faceyconnect form online today to enhance your access to healthcare services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232