Medical Document Upload
For patients of Wave Integrative Medical Center only
Date of Birth
By submitting this form you acknowledge the following disclaimer. Our HIPPA-compliant medical document upload service is being provided as a courtesy to patients in accordance with the existing Patient Handbook and Policies. If there is an urgent matter you are required to consult primary care, emergency medical services, or, when appropriate, contact our front desk. The attached documents will be reviewed just prior to your next appointment. You should not expect a phone call from your provider regarding the attachment here. Please confer with Wave Integrative Medical Center Reception if you would like to adjust your appointment to be sooner.
I have read the disclaimer above:
Enter the message as it's shown
Should be Empty: