Welcome! If you are a patient, please sign in using the user ID and password you were assigned after speaking with me. If you have forgotten, or have not yet received a user ID, please call 413-341-3742 or 413-570-0425 to obtain this. Signing in will allow you to complete needed forms prior to your visit. Please save your logon information for future reference. Please do the following: 1) Login by selecting the "Patient" radio button that you see to your right, and then filling in your user ID and password. You will then be taken to the HOME screen. 2) If this is your first visit, please change your password immediately to something that you can remember but would be very hard for others to guess. 3) Next, click on the Documents link, and click the "Create New Document" button, which shows you a dropdown menu. From that menu, select the "New Patient Information" form, and then click the "Create Document" button.
4) Then please fill out the "New Patient Information" form, including your insurance and your insurance ID. If you have your insurance through a spouse, partner, or parent, I'll often need HIS/HER FIRST and LAST name and ID number to be able to bill the insurance (as they would be the "subscriber" to the insurance plan). 5) At the bottom of the online New Patient Info form, there are 2 checkboxes giving me the usual permission to have contact with insurance companies so I can bill, and having you authorize payments. You will need to check those off and "sign" at the bottom, using your password. The information you submit is secure and no one else has access to your clinical information as it is password protected. For clients under the age of 18, a parent or guardian will need to fill out each form for the client and electronically sign each form. Thank you. John Zebrun, MD |