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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...

This is the most common way of creating an account. If you are trying to create an account but are finding a lot of errors that look like these: "An error occurred while trying to create your user account." (This error usually indicates that you have forgotten your admin password) "Invalid account name " (You need to enter your email address) " (You need to enter your email address) "An unexpected exception occurred while trying to create your account." "Your administrator account has been locked." "Your account has been blocked by your host." "Username and password do not match your billing information." These errors can be due to two different things. If you have forgotten your admin password or have your billing information incorrect, your host may have locked your account because they think you are trying to impersonate someone on the network. You should change your admin password after you have completed these steps as it is your only way of logging into the service. If you are unsure, follow the instructions below. Create an esign password. If your host is blocking your account and cannot give you an e-mail confirmation, follow these steps to create and store an esign password: Log in to your Plesk Account Go to your account settings Click on "Email & password" Click on "New password" Enter your billing information and select a strong password if you haven't already Click on "Save" Log into the host's Plesk Admin interface Navigate to Users Go to the...