Andrew Barbash, MD - Publicforms

Available Forms

Apractis Clinic-Request New Member Invite Barbash Network-Register Consult Documentation-Neurology-Andrew Barbash, MD Consult Request-Community Clinic Consult Request-Putnam Hospital (NY) Consult Request-Univ of Md St Josephs Copy of Join Us-Including Specialties Family Available for Consult Info Now NeuroDox-Request a Mobile Video Link NowDox Request Confirmation NowDox-Add Room Link Other Hospital or Facility Neurology Advice (Physician/Mid-Level Use Only) Patient Confirm Video Visit Time Patient Info Request Send to Provider Patient/Family Caregiver Request Virtual Care PERSONAl/MY FAMILY ONLY-From Ellie to Andy Physicians/Mid-Levels Secure Message for Andrew Barbash, MD Podio Access Request Schedule a Virtual Care Visit with AJBMD ShareFile Secure Folders Registration Team Meeting TESTING-General Neurology Request TESTING-Hospital Neurology Request-NeuroDox Form TESTING-Neurology Followup Virtual Care Primary Care Patient Registration WAFCC-Admin Contact Form Waiting Room-Dr Vu Waiting Room-Test Specialty WebForm-Add Your Hospital to Our List WebForm-Availability-Neurologist WebForm-Consult Request for Dr Barbash-Neurology Telemedicine WebForm-Meet Dr Barbash by Video WebForm-Register with Barbash Virtual Care WebForm-Request to Enter Webinar Meeting WebForm-Specialist Registration for Barbash Virtual Care WebForm-Updox ID Request for Barbash Neurology Team WebForm-Waiting Room-Neurology Request Entry to My Zoom Video Room-AJBMD Web Message for Dr Barbash

TESTING-General Neurology Request

Curbside Advice for General Tele-Neurology

THIS IS FOR USE ONLY BY PHYSICIANS RESPONSIBLE FOR THE PATIENTS CARE. This is posted immediately into a secure team inbox. A Neurologist credentialed at your facility who is participating in this curbside advice service will contact you back.

Your Name (Healthcare Provider) *

Your Mobile Phone (for IM) *

A mobile number at which we can send an SMS Text Message Now

Hospital/Facility

Hospital/Facility *

This service is provided to hospitalists and other clinicians in one of the listed hospitals in which we have direct EMR access and also have efficient ways to communicate. If you enter a name not listed we will still message back to your mobile phone.

Clinical Details

Clinical Issue or History *

Clinical Action Needed

What Type of Help is Needed? *

Quick Question/Curbside Advice

Review Data or Imaging

Direct Patient Video Consult

Other

How Soon is Response Needed? *

15-30 Minutes

30-60 Minutes

Within 4 Hours

By End of Day

Optional Fields

Patient Name

Neurologist Requested (if known)

Your Email (first time users)

If this is your first time using this process please provide the email address you check most often. We will likely send an invitation to a Secure Messaging service for future needs and followup communications.

* Required field