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When a client enters information (such as a password) into the online form on , the information is encrypted so the client cannot see it. An authorized representative for the client, called a "Doe Representative," must enter the information into the "Signature" field to complete the signature.

Yes. Please follow this link to download and fill-out the form. I am a new patient or patient on my last visit. Can I still use the electronic health record if I am already in my current hospital? Yes. Can I use my paper charts (I-95, etc) for this appointment? Yes, the patient record will not be removed, or converted, from a paper chart to an electronic chart. How can I view my charts on my computer, tablet or IPhone? On your computer, tablet, or Ipod, go to the "Patient" tab and look for the "Patient" column. The patient record is on it, and it should say "ePatient record" Can I use a paper chart at the computer? No, the patient record must be in PDF format. No printer, electronic inkjet, laser or fax is allowed. Can I have two copies of my chart at all times? Yes, the patient record must be on your own computer, tablet and Ipod screen. Does my patient record have a "date of service? " Yes, the date of service is listed on every record that you fill out. For a complete listing of date of service in your state, please click here What if my patient record gets destroyed? Contact the hospital and they will help to replace it. If there is a problem with the patient record, what will I be told? Contact your provider immediately to discuss the issue. The information that you provided must be accurate. Any changes to the information should be documented so that there is always a record to review. What if my patient's record gets stolen? Contact the hos...

The short answer is that you will need to use a computer or Android device in order to create a pin. Create a pin Create an esign pin (also called a "key") using an esign program (, ) on a computer/device with a working account. You can use an esign program or your phone with Android to create a pin. Create a pin You may use the version of esignon to create a new pin if you are using an account that you don't need to manage keys in. If it's your first time creating an esign pin, we recommend that you first generate one on your phone. See How do I create an esign pin on my phone? . Step1: Create an esign pin Click the Create button ( ) next to the pin ( ) and click Generate. This will start the generation process. When you are finished, click the Verify button. This will open a pop-up window asking you to confirm that you want to verify your pin. Click the Verify button. If all works well, you'll see a dialog box, similar to the following, asking you for your account name, pass code or other security information. If you don't know your password or security key, you should create them before proceeding with this process: Note: If you create an esign pin on a computer and don't use a phone, you'll have to manually enter your account name, pass code or other information. Note: If you created an esign pin in an Android version earlier than KitKat, you will get a warning on the pop-up dialog box, similar to the following, stating that you don't have an esign account...