Patient Check-in
Complete your pre-registration online to speed up your visit
Select Check-in Type
New Patient
First time visiting? Complete your registration.
Returning Patient
Already registered? Update your information.
Appointment Check-in
Check in for your scheduled appointment.
Personal Information
Insurance Information
Front of Card
Back of Card
Medical History
Consent Forms
HIPAA Privacy Notice
I acknowledge that I have been offered a copy of the Notice of Privacy Practices which describes how my health information may be used and disclosed.
Consent for Treatment
I consent to examination and treatment by Pars Medicine healthcare providers. I understand that practicing medicine is not an exact science and results cannot be guaranteed.
Telemedicine Consent
I understand that telemedicine may be used for healthcare services and consent to receive care via audio/video technology when appropriate.
Financial Responsibility
I understand that I am financially responsible for services not covered by insurance, including copays, deductibles, and non-covered services.
Review Your Information
Personal Information
Insurance
Visit Information
Check-in Complete!
Your information has been submitted successfully.
Please proceed to the front desk with your ID. A staff member will call you shortly.