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CommunityMed Family Urgent Care –
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Registration – Mckinney

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this variable shows where traffic came to this form from. Query string variable is checkinid
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this variable is set to 4 when patient has arrived in the parking lot. the querystring variable is arvd. Default value is 0
If you have issues checking-in - Please go in and ask the front desk or ask over the online chat
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hideme {current_hour}
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captures the date of entry for use in calculations
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captures the date of entry for use in calculations
MM slash DD slash YYYY

You are here for the Mckinney clinic

You are here for the Mckinney clinic

FRONT DESK Registering for the Mckinney clinic

Select which of our locations you would like to visit
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the hidden value of the url code for the clinic selected. USE THIS FOR ALL SELECTION OF CLINIC
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There are 5 remaining spots today at Mckinney clinic.

The Mckinney clinic is booked up for today - check the schedule for tomorrow or check our other clinics.

We open more spots every morning so check back tomorrow morning as well

DUE TO WEATHER- THIS CLINIC IS CLOSED THE REMAINDER OF THE DAY

We will reopen tomorrow morning at 8am
DUE TO HOLIDAY - THE CLINICS ARE CLOSED We will reopen tomorrow morning at 8am

DUE TO BAD WEATHER - THIS CLINIC IS OPENING ON FEBRUARY 25th AT 10 AM

Please check our website for information on tomorrows hours and closing information.

Clinic is currently closed -
Don't worry - We can still book you for when we are open!

We are open Mon - Sat 8am-8pm and Sun 12pm-8pm

Clinic is nearing closing time (8pm)


Don't worry - If you are in the parking lot BEFORE 8pm (even if you completing your registration) we will see you. When you arrive, pop into the lobby to let us know you are here.

At 8pm we stop seeing new patients who are not here at the clinic before 8pm.

You Are At The Mckinney Clinic

Please go ahead into the clinic to let the front desk know you are here and completing your paperwork.
You can still complete it in your car, but this way we know you are here to be seen near closing.

You receive this Visit ID AFTER SCHEDULING AND COMPLETING REGISTRATION.
Is the patient in emergency medical distress or having a true medical emergency?
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USED TO SET NEW REGISTRATION FLAG
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You are CHECKING IN from an existing registration

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1=new registration, 0 or empty means existing registration
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EMERGENCY

YOUR CONDITION IS ACUTE AND REQUIRES IMMEDIATE ATTENTION

Please proceed directly into the clinic with your ID and insurance card.

YOUR CONDITION IS ACUTE AND REQUIRES IMMEDIATE ATTENTION

Please stop and seek emergency medical care or dial 911

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Appointment Issue - Canceled Appointment

Our records indicate this appointment was cancelled

If this is in error, please go in and check with the front desk

Appointment Issue - Still on Wait List

Our records indicate this appointment is wait listed and does not have a time assigned yet

If this is in error, please go in and check with the front desk

Registration Code Issues

ERROR WITH YOUR VISIT ID

Verify below that you are at the right clinic with the right 9 digit Visit ID
Hit the PREVIOUS button below and verify the code is correct or see the front desk

YOU SELECTED AT REGISTRATION is below - YOU ARE CURRENTLY AT Mckinney

Registration Code Issues

ERROR WITH YOUR DATE OF VISIT

Verify below that you are on the right day with the right 9 digit Visit ID
Hit the PREVIOUS button below and verify the code is correct or see the front desk
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MM slash DD slash YYYY

ERROR: Your registration was for a different day

Would you like to go ahead with a NEW registration (and complete a full set of forms) since we did not find your Visit ID?(Required)

Patient Information

PLEASE VERIFY CELL PHONE AND EMAIL BELOW

These are critical for us to lookup the patient and communicate with you after the visit
If this is not correct - please go into the clinic and check with the front desk
Approve receiving communication from the clinic over mobile phone, text, and voicemail(Required)
We require patients to allow us to communicate with them and referring physicians over mobile phone, text, and voicemail in order to be seen. We will never divulge your information to other outside parties.
Approve receiving communication from the clinic over email(Required)
We require patients to allow us to communicate with them and referring physicians via email (with medical details secured with password) in order to be seen. We will never divulge your information to other outside parties.

Patient Registration

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Note that for your protection, Communitymed follows medical best practice and performs a medical exam on all COVID testing patients. All COVID tests require a medical office visit



NOTE ALSO: We CANNOT schedule same-day COVID PCR tests after 6:30pm.
Is this an injury you received at work?(Required)
Is this an injury from a car or motorcycle accident?(Required)
What type of workplace medical visit do you need today?

WE STOP DRUG TESTING AT 6:00pm

The drug testing process requires up to 2 hours for shy bladder, and we close at 8pm.
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Please change answer above on "Reason for Visit" to Injury Visit in order to be seen for a workplace injury

What Type of Physical do you want today?(Required)
Wellness exam will include depression evaluation, development benchmarking, other wellness screenings, and, at parent discretion, vaccinations due in this age bracket.
What version of Physical paperwork do you need completed(Required)

WE WILL SEND YOU THE UIL FORM

We will email you the UIL form as a fillable PDF for you to complete PRIOR to coming in.
Do you need additional physical paperwork completed for camp etc.?(Required)
There is an additional charge per form set of $10 (applicable to both free wellness school physical and cash pay $49 physical)
Are you requesting the optional EKG as part of your child's physical?(Required)

NOTE:

CommunityMed does not perform Pediatric ECGs. If you notate on your youth's UIL physical form (near the bottom right of the first page) that you would like a Pediatric ECG completed, CommunityMed will need to refer you and your youth to a Pediatric Cardiologist to undertake the ECG (with additional charges from the cardiologist). Eliminating the ECG request on your school physical paperwork will allow us to complete the physical today. We are happy to still refer you to a great cardiologist if the ECG is important to you and your child.
Has your child has suffered a concussion within the last year?(Required)

IMPORTANT NOTE ON CONCUSSIONS:

If you answered yes (your child has suffered a concussion within the last year) you need to provide a clearance letter. CommunityMed is UNABLE to clear your child from a recent concussion.
WITH YOU TODAY - Do you have a copy of the physician clearance letter/note from this concussion(Required)
Is it likely that your child need eye glasses to pass an eye exam at 20/40(Required)

Important Vision Test Info:

If your child requires glasses or contacts to read an eye chart, you must have those to pass the physical exam. Your child will NOT pass if they cannot read at least 20/40 on the eye chart.
WITH YOU TODAY - Do you have your child's eye glasses?(Required)
Has a physician ever denied or restricted child's participation in activities for any heart problems?(Required)

IMPORTANT CARDIAC NOTE:

With the significant risk to your child given their cardiac history, we will need a copy of the clearance letter/note from the child's physician that restricted their activity due to heart problems.
WITH YOU TODAY - Do you have a copy of the clearance letter/note from the child's physician that restricted their activity due to heart problems?(Required)

YOUR CHILD IS UNLIKELY TO PASS THE SCHOOL PHYSICAL

Please rectify the requests for outside doctor notes and/or eye glasses in order to proceed with registration and get your child through their physical without issue.

Patient Information

Patient Name(Required)
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HIDDEN REG Patient Address
Is the patient a new or existing patient at any of our clinics?(Required)
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DD slash MM slash YYYY
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Has any of the patients insurance coverage details or address details changed since your last visit(Required)
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= 1 is patient is new, 0 = patient is existing, no entry means patient is existing
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HIDDEN PREVIOUS Patient Address

APOLOGIES - We changed our registration system

EITHER we do not have the patient in our new system OR the patient's last visit was over a year ago. We will go ahead and complete a new patient record in our new system. Thanks for your patience

We found your record from the visit

Patient Details

Patient Address(Required)
Patient Biological Sex(Required)
Patient Marital Status(Required)

YOUR INFO AS THE ADULT RESPONSIBLE FOR MINOR PATIENT (GUARANTOR)

Because the patient is a minor, they require an adult who is legally able to sign permission forms for the patient (usually the parent or guardian). The remaining information on this page is to be completed by this adult. The guarantor is the Adult, responsible for the Minor, who is signing the form.
Parent Name (Guarantor)
Your Relationship to Patient

We need this to verify your identity
MM slash DD slash YYYY
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current age, no decimal needed
Your Biological Sex(Required)
Your Legal Marital Status
Guarantor Address
Your Current Address

Method of Payment

How will you be paying for the visit today?

NOTE: We do not accept Medicaid.

We are not currently credentialed with any forms of Medicaid

Insurance

Bring your insurance card into the clinic when you are called in for your visit.

Insurance Coverage Details

Policy Holder Name
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Policy Holder Address - check if true
Policy Holder Home Address

PRIMARY Insurance Policy Details

Start typing the name of your insurance provider and the list will be filtered, Select Other if your insurance is not listed
Patient is also covered by a SECONDARY or SUPPLEMENTAL health insurance policy
please bring in your secondary insurance card as well
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HIDDEN Patient Name
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YYYY dash MM dash DD
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HIDDEN Patient Address
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state machine 2= new reg, old patient 4=old reg, new patient 6=new reg new patient
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How many hours from now is the appointment time
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how long from now is appointment

Stay in the Parking Lot

YOUR VISIT IS LESS THAN 2 HOURS FROM NOW

Please stay in the parking lot and wait. Sometimes we can see you faster than your scheduled block SINCE YOU ARE HERE.

Leave and Return

YOUR VISIT IS 2 OR MORE HOURS FROM NOW

You can choose to stay in the parking lot and wait. Sometimes we can see you faster than your scheduled block IF YOU ARE HERE.
OR
You can leave and be back in the parking lot AT THE BEGINNING OF YOUR TIME BLOCK.
Select below to let us know what you want to do
Stay and wait or leave?

WHEN YOU RETURN

Scan the QR code/go to the check in link again and enter your 9 digit Visit ID (starts with 99) that you receive in email and text when your check-in is complete. Then WAIT IN YOUR VEHICLE and ANSWER YOUR PHONE - we will call you when it is your turn.

Next Step

We need a little more detail on your work injury

Lets get you a spot in line - we reserve spots in blocks - click Next to continue

PLEASE NOTE: IT MAY TAKE UP TO 30 SECONDS FOR THE NEXT PAGE TO LOAD

Lets go over some of the required info you need with you today for a DOT Physical, then we will grab you a spot in line. Click Next to continue

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