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Registration – Upload Cards
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Please upload photos of your insurance card(s) and ID
. If you have any issues uploading, please also bring them in with you when you are called in.
There is no need to restart registration if you have an issue uploading.
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Date
MM slash DD slash YYYY
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Visit ID
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Pull Data
– Fill Out Other Fields –
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Clinic ID
To accelerate your check in, please upload photos of your Insurance Card and Government ID.
We can text you a link to use to upload if you don't have them or want to upload them from your phone.
Please upload photos of your Government Issued ID and insurance card(s) to get you checked in faster
(Required)
I will upload them right now using this device
Text me a link (so I can upload from my cell phone)
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Upload code
Upload Cards
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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
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)
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)
