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CommunityMed Family Urgent Care –
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Registration – QR Code Check-in

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This variable is set by what parking lot the patient has checked into. Variable is Location set by querystring
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This variable is set by what parking lot the patient has checked into. Variable is Location set by querystring
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This is the variable set by where the customer accessed the form
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this value is 4, set by querystring, for patient in the parking lot. Otherwise it is 0

You are Checking In to the Clinic

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this value is 1 for patient in the parking lot. Otherwise it is 0

The Clinic is CLOSED, NO POWER

Estimated opening time is 1:30pm. Please go to our location 3 miles away on Hwy 121 until then.

2619 Sentinel Way, Suite 200
Melissa TX 75454
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Is the patient in emergency medical distress or having a true medical emergency?(Required)

YOUR CONDITION IS ACUTE AND REQUIRES IMMEDIATE ATTENTION

Please proceed directly into the clinic with your ID and insurance card.

Have you already started registration or reservation for this visit?(Required)
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Are you in the parking lot of a CommunityMed clinic?(Required)
Starting the parking lot check-in when you are NOT in the parking lot can result in delays or cancellation of your visit
We are getting an error on your arrival in the parking lot - please see the front desk or jump on a chat session
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This is the visit ID looked up from the patient entering the Z-Code.
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1 is the visit ID is valid, 0 is the visit ID is not valid/not found
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We did not find your Visit ID from the Z code you entered

Please press "Previous" button at the bottom of the screen and re-enter the correct code,
or let us know below if you need help or will go ahead and complete a new registration
We were unable to find your Visit ID Z code

Click NEXT Below and lets get you started

Click NEXT Below and lets get you started

We found your Visit ID from the Z code you entered

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YYYY dash MM dash DD
This pulls in the scheduled visit date
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This captures the current hour of when the patient is completing this form
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This is the variable showing what the current minutes of the time are for when the patient is completing this form
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This is the variable showing what the decimal time the patient is completing this form
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MM slash DD slash YYYY
This is the variable that captures the date of entry for use in calculations
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This is the variable of how many days from today is the selected visit date.
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How many hours from now is the appointment time
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This is the clockwise hospital ID for the clinic based on the location ID of the parking lot
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This field will calculate to a 1 if there is an error to display and a 0 if there is no error

The Clinic is CLOSED, NO POWER

Estimated opening time is 10:30am. Please go to our location 3 miles away on Hwy 121 until then.

2619 Sentinel Way, Suite 200
Melissa TX 75454

The Clinic is CLOSED today (1/31/2023) for bad weather

The Clinic is CLOSED today (1/31/2023) for bad weather

The Clinic is CLOSED today (1/31/2023) for bad weather

ALL CLINICS ARE CLOSING EARLY TODAY (1/30/2023) at 5:00PM for bad weather

The Haslet Clinics are CLOSED today (1/30/2023) for bad weather

The clinic is behind because we lost power. Please be patient with us.

IMPORTANT MESSAGE

The CommunityMed registration site is down for maintenance and updates - please come back in an hour

DUE TO HOLIDAY - THE CLINICS ARE CLOSED We will reopen tomorrow morning at 8am

Clinic is currently closed -
Don't worry - We can still book you for when we are open!

We are open Mon - Sat 8am-8pm and Sun 12pm-8pm

Clinic is nearing closing time (8pm)


Don't worry - If you are in the parking lot BEFORE 8pm (even if you completing your registration) we will see you. When you arrive, pop into the lobby to let us know you are here.

At 8pm we stop seeing new patients who are not here at the clinic before 8pm.
Please go ahead into the clinic to let the front desk know you are here and completing your paperwork.
You can still complete it in your car, but this way we know you are here to be seen near closing.

Our records indicate this appointment is a walk-in visit and does not have a time assigned yet

If this is in error, please go in and check with the front desk
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There Seems to Be an Error

You MAY be at the wrong clinic from where you registered...

Our records show you registered at the {:74} clinic, and you are actually at the clinic.

You MAY be at the clinic on the wrong Visit Date...

Our records from the Z-code visit ID you entered show you registered for a visit on , and today's date is @March 27, 2023
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Parking Lot Info

Patient Name(Required)
MM slash DD slash YYYY

POSSIBLE BIRTHDATE ERROR

Please check birthdate - we can't see newborns except emergency.
We will use the number below to contact you IN YOUR CAR for this visit, Please add or update the number to the correct mobile phone
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YOUR VISIT IS LESS THAN 1 HOUR FROM NOW

Please stay in the parking lot and wait. Sometimes we can see you faster than your scheduled block SINCE YOU ARE HERE. IF YOU NEED TO LEAVE AND COME BACK PLEASE LET US KNOW

YOUR VISIT IS 1 OR MORE HOURS FROM NOW

You can choose to stay in the parking lot and wait. Sometimes we can see you faster than your scheduled block IF YOU ARE HERE.
OR
You can leave and be back in the parking lot AT THE BEGINNING OF YOUR TIME BLOCK.
Select below to let us know what you want to do
Stay and wait or leave?(Required)

WHEN YOU RETURN

Scan the QR code/go to the check in link again and enter your 9 digit Visit ID (starts with 99) that you receive in email and text when your check-in is complete. Then WAIT IN YOUR VEHICLE and ANSWER YOUR PHONE - we will call you when it is your turn.
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Next Step

Lets get you a spot in line - we reserve spots in blocks - click "Next" below to continue

Clicking "Next" below will check you in as ready to be seen.


We utilize a virtual waiting room from your car for for your protection and convenience. That way, you can wait in the germ-free environment of your car.

One of our medical staff to call you on the number you provided to start your intake process.

If you have any questions or want to wait in our limited-space waiting room, please proceed into the clinic and talk to the front desk.

Lets get you a spot in line - we reserve spots in blocks - click "Next" below to continue

Pop into the front desk for help

When you complete this form, we will let the front desk know you are coming in because your visit ID was not found
the unique ID below is only for the temporary parking lot queue for patients who are starting the reg process but have not completed it yet. Iit will also be used to pull in patient details to the reg paperwork
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Pull Data for Clockwize

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HIDDEN VID Patient Name
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MM slash DD slash YYYY
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