EFTA00957235.pdf

From: "Fernandez, Kristen" To: "jeevacation®gmail.com" leevacation®gmail.com> Subject: Appointment with Dr. Rodriguez Date: Wed, 20 Jun 2018 19:56:32 +0000 Attachments: New_Adult_(rev_03.22.18).pdf; Patient_Informational_Forms_(11.1.17).pdf Inline-Images: image00 1 jpg Good afternoon, You have been scheduled to see Dr. Rodriguez on Wednesday July ii, 2018 at 9am. The address is 305 E 33rd Street New York, NY 10016. Attached is the new patient paperwork as well as informational forms to further explain the Notice of Privacy Practices, and the HIE Factsheet. The completed paperwork can be faxed to 646-754-9605 or emailed to NYUPlasticSurgery@nyumc.org. The forms should be completed in their entirety prior to your visit with us. This will enable your appointment to proceed most efficiently. Please take the time to review this information and let us know if you have any questions. A Few Reminders: • Please bring your insurance card and photo ID. • Please arrive 15 minutes before your appointment time. • If your insurance has a copay, coinsurance, or deductible, please be prepared to pay it on the date of service. Also, if your insurance requires a referral, it is your responsibility to obtain one and provide it before your office visit to ensure insurance coverage for your visit. • Personal checks exceeding $1,000 and CareCredit are not accepted as forms of payment. Please note that we do have a cancelation/rescheduling policy that requires you to provide us with a 24 hour (1 business day) notice for any changes to your existing appointment. Should you wish to make any changes to your existing appointment, please call our office at 646-501-4481. Failure to notify us in time may result in a cancelation fee being accessed to your account. Please also be on the lookout for a separate email prompting you to activate your MyChart account with us. It will come from mychartdonotreplyanyumc.org and the activation link enclosed will only be valid for 24 hours. MyChart at NYU Langone allows you to securely send messages to our office, view your test results, request renewals for your existing prescriptions, view/cancel appointments, and more! It also has a downloadable app for Android and iPhone. Should the link expire, below are instructions enabling you to securely create your online medical record. We do require that you check in online and verify/update your demographics as well as your medical history prior to coming in for your appointment. Once we see that you are active, we will send you a message for you to reply ensuring complete activation. How Do I Sign Up? 1. In your Internet browser, go to http://nyulmc.org&nychart-activation 2. Complete the MyChart Account Verification Form and click Submit. 3. An activation link will be sent to the e-mail we have on file. 4. Open the e-mail you receive from donotreplvOnyumc.org_with subject: NYU Langone Account Activation. 5. Click the link in the email (MyChart at NYU Langone). 6. Verify your date of birth and e-mail on file with NYU. EFTA00957235  7. Create a MyChart at NYU Langone Username. This will be your MyChart at NYU Langone login ID and cannot be changed, so think of one that is secure and easy to remember. 8. Create a MyChart at NYU Langone Password. You can change your password at any lime. 9. Enter your Security Question and Answer. This can be used at a later time if you forget your password. 10. Click Submit. n. Your account will be created. You will also receive a confirmation e-mail. Additional Information If you have questions, please call 866-262-6458 to talk to our MyChart at NYU Langone staff. Remember, MyChart at NYU Langone is NOT to be used for urgent needs. For medical emergencies, dial 911. Patients: going forward, please utilize MyChart for secure messaging, prescription refills, appointment verification, and to view and/or pay bills. Please go to mychart.nyulmc.org to sign up. If you need help recovering a password or have other technical issues, please contact the MyChart help desk at 866-262-6458' • A rAint • .rentainfey FGP Cosmetic Operations Lead ClinicalAdministrative Assistant & Surgical Coordinator to Eduardo D. Rodriguez, MD, DDS Chair, The Hansjorg Wyss Department of Plastic Surgery Helen L. Kimmel Professor of Reconstructive Plastic Surgery NYU Faculty Group Practice 305 East 33rd Street I New Description: Description: Description: CONFIDENTIALITY NOTICE: This message is fa the sole use of the intended recipeent(s) and may contain confidential, proprietary, and/or protects health information. Under the Federal Law (HIPAA) cc other confidentiality protections, the intended recipient is obligated to keep this infcemation secure and confidential, and may only use or &dose it in a manner permitted under HIPAA or other protections. If you are not a desgnated redolent, you may not review, copy, or chstriste this message. If you recenee this in error, please notify the sender by reply e- mail and delete this message. Thank you. Please do not qtly this e-mail unless necessary. This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email. EFTA00957236