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Email added to delete personal info

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Traffic Source

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Decimal Time

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Date

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Visit ID

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Pull Visit Data Table

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Pull Patient Data Table

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Visit EMR Type

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Clinic ID

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Which EMR

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drugtest

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dot

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workcomp

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physical

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wellness

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Upload necessary

1 means upload insurance cards, 0 means do not need to upload insurance cards

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Untitled

Please upload photos of your insurance card(s) and ID. Please also bring them in with you when you are called in.

Talk to the front desk if you have any issues

Please upload photos ID. Please also bring them in with you when you are called in.

Talk to the front desk if you have any issues

Please upload photos of your Government Issued ID to get you checked in faster(Required)

I will upload photos right now using this device

Text me a link (so I can upload from my cell phone)

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Upload code

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Patient Name

First Last

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Insurance 1 ID

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Patient Phone

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Insurance 1 finclass

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Insurance 2 id

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Clinic Name

Upload Cards

Join our Parking Lot WIFI

Uploading photos of your insurance card can be frustrating if you are on a weak cell phone signal

We have setup safe and secure Wifi in the parking lot especially for uploading your documents.

Go to your wifi settings and join the Wifi: CMED-CheckIn
with password: CommunityMed

Step 1 – Shoot Photos

The first thing to do BEFORE HITTING NEXT is to go to your phone camera and shoot a photo of the front and back of both sides of your insurance card(s)

THEN press “Next”

Upload Drivers License or ID (Front View)

Upload Drivers License or ID (Rear View)

Upload Primary Insurance Card (Front View)

Upload Primary Insurance Card (Rear View)

Upload Secondary Insurance Card (Front View)

Upload Secondary Insurance Card (Rear View)

Now press “Select Files”

and pick the ID photo you took from your phone’s gallery

Upload Drivers License or ID (Front View)

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Upload Drivers License or ID (Rear View)

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URL of upload

Primary Insurance Upload

Now press “Select Files”

for the front of your insurance card, and pick the insurance card front photo you took from your phone’s gallery, then repeat on the next entry down for the BACK of your insurance card.

Upload Primary Insurance Card (Front View)

Upload Primary Insurance Card (Rear View)

Secondary Insurance Upload

Now press “Select Files”

for the front of your insurance card, and pick the insurance card front photo you took from your phone’s gallery, then repeat on the next entry down for the BACK of your insurance card.

Upload Secondary Insurance Card (Front View)

Upload Secondary Insurance Card (Rear View)

99-4-1 Upload Cards

CMed – Upload ID and Cards

Upload Cards

Join our Parking Lot WIFI

Step 1 – Shoot Photos

Now press “Select Files”

Primary Insurance Upload

Now press “Select Files”

Secondary Insurance Upload

Now press “Select Files”