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Available Forms

X-DEMO-Mobile Video Connect

Securely meet by mobile video on your smartphone or any device

This form is securely received in the Neurology Team's clinical inbox. Use this to have them notified immediately that you are ready for the patient to be seen

Nurse, physician, mid-level, clinical support staff, patient or family caregiver
Please enter the name of the neurologist who has asked you to meet by mobile video

A secure mobile video link will be sent to your smartphone via SMS within a few minutes.

* Required field