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PATIENT CONTACT INFORMATION FORM NAME: DOB: What would you like us to call you? ADDRESS: PHONE NUMBERS Please list in order of preference and identify as cell/home/work e.g. C, H, W 1) 2) 3) Email

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How to fill out contact us - mychart

01

Open the MyChart application or website.

02

Go to the 'Contact Us' section.

03

Fill out your personal details such as your name, address, and contact information.

04

Select the reason for contacting in the dropdown menu.

05

Provide a detailed description of the issue or inquiry in the message box.

06

Attach any relevant documents or files if necessary.

07

Double-check all the information filled and make sure it is accurate.

08

Click on the 'Submit' button to send your contact request.

Who needs contact us - mychart?

01

Anyone who has questions, concerns, or inquiries regarding their MyChart account or the healthcare services provided by the organization should use the 'Contact Us' feature in MyChart. This includes patients who need assistance with appointment scheduling, medical records, prescription refills, billing inquiries, or general feedback. It also applies to individuals who want to report technical issues or provide suggestions for improving the MyChart platform.

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What is contact us - mychart?

Contact us - mychart is a feature on the MyChart platform that allows users to reach out to customer support for assistance with their account or any other inquiries.

Who is required to file contact us - mychart?

Any user of the MyChart platform who needs assistance or has a question can utilize the contact us - mychart feature.

How to fill out contact us - mychart?

Users can fill out the contact us - mychart form by navigating to the designated section on the MyChart platform, providing their information and details of their inquiry, and submitting the form online.

What is the purpose of contact us - mychart?

The purpose of contact us - mychart is to provide users with a convenient way to contact customer support for assistance or to get answers to any questions they may have.

What information must be reported on contact us - mychart?

Users must provide their name, contact information, and details of their inquiry or issue when filling out the contact us - mychart form.

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