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.
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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
- Click ‘Get Form’ button to obtain the Faceyconnect User Agreement and open it in your editor.
- 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.
- 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.
- 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.
- Once you have read and agreed to the terms, sign and date the agreement in the appropriate fields. Make sure your signature is clear.
- 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.
- 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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