YOUR NAME:
CALL BACK NUMBER EMAIL
WHAT:
WHO: Title
HOW: ( For consults )
WHEN:
WHERE:
COMMENTS:
WEB REQUEST for services
By using this form, your requests can be more quickly processed.
They are sent directly to Dr Paul Heinzelmann's pager. He or an associate will respond ASAP.
Has the patient registered?
NOTE:
The patient must be registered before this service can be completed.
(Click to register now.)
Remote Care Visits are to be used only for management of routine medical concerns, and are done only at the discretion of the on call physician. In some instances, it is determined that an in-person visit, or referral to another provider is the most appropriate level of care.
