eVisit Screening

1

Have you been seen by Beach Medical before?* This field is required.If this is your first time visiting, please go back to the homepage and click 'New Patient Registration'.

YESNO

2

Have you completed your new patient paperwork?

YESNO

3

Do you have your blood pressure cuff, scale, and form of payment?If you do not have any of the above, please obtain those objects before your booked appointment time!

YESNO

4

Do you have a coupon code?If so, please enter it below so we can honor your coupon at your appointment time.

5

What is your last name and first initial?We need this so we can apply your coupon code to your eVisit!

6

For the safety of all parties involved, Beach Medical Online will NOT conduct appointments while patients are operating a motor vehicle. Appointments will be rescheduled in the event that the patient must operate a motor vehicle. By selecting 'yes' I understand to these terms.

YESNO