You are about to be directed to your physician’s login page to complete the required assessments. Below are the sample options and steps to each method. There is a short Patient Help video, as well as an email support link at the bottom of this page. Want to complete these assessments via phone or telemedicine? We have a toll free number for you to call. Thank you!
To Enter Directly on Your Device
To begin, please go to
1. Enter the account number - XXXXX
2. Select Practice – Practice Name
3. Enter your full name, date of birth in this format – 11/11/1911, gender and hit “SUBMIT”
4. From there you will see “Assessments”
5. Simply click on each one in order and complete and then hit SAVE.
6. Once all are completed (less than 10 minutes) hit SUBMIT and you are done.
To Download a Paper Version
Click the link at the bottom of this page. Once completed please scan and send to firstname.lastname@example.org or your physician’s office.
Want to Complete This Live on the Telephone?
Email or call your physician to schedule a time.
Questions? – Please contact email@example.com
Check out this great help video - 4:19