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HIPAA Compliance

Message Changes

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Attention Clients:

If you have already submitted your revised message script, please go to http://www.phonetree.com/upload to complete the message updating process. Thank you.

Message Change Request Form

To our valued customers: Welcome and thank you for using PhoneTree to deliver you important messages. In the interest of processing your message change request as soon as possible, we have prepared this form to streamline the process. Please follow these instructions:
1. Complete this form
2. Call our studio hotline at 877.886.8830 to leave the proper pronunciation of your message components.
Your message change request will not be processed until these steps have been completed.

Your Information (required)

Your Name:
Organization Name:
Email:
Phone:
Site ID:

Call PhoneTree Support at 800.555.0559 if you have forgotten your Site ID.

Add/Remove Provider(s)

To add or delete a provider, please enter the name of the provider and the provider code as it appears in your practice management software (Example: Provider Name: Dr. John Doe, Provider Code: 12).

Provider 1:   Add
  Delete
  Title 
   Name 
  Code 
Provider 2:   Add
  Delete
  Title 
   Name 
  Code 
Provider 3:   Add
  Delete
  Title 
   Name 
  Code 
Provider 4:   Add
  Delete
  Title 
   Name 
  Code 

Add/Remove Location(s)

To add or delete a location, please enter the name of the location and the location code as it appears in your practice management software (Example: Location Name: Downtown Office, Location Code: 03).

Location 1:   Add  
  Delete  
 Name 
 Code 
Location 2:   Add  
  Delete  
 Name 
 Code 
Location 3:   Add  
  Delete  
 Name 
 Code 
Location 4:   Add  
  Delete  
 Name 
 Code 

Add/Remove Appointment Type(s)

To add or delete an appointment type or room number, please enter the name of the appointment type and the corresponding code as it appears in your practice management software (Example: Name of Appointment Type: New Patient, Appointment Type Code: NP).

Appt. Type 1:   Add  
  Delete  
 Type 
 Code 
Appt. Type 2:   Add  
  Delete  
 Type 
 Code 
Appt. Type 3:   Add  
  Delete  
 Type 
 Code 
Appt. Type 4:   Add  
  Delete  
 Type 
 Code 

Changes to Message Script

To make any alterations to your message, please enter the complete text below:

Other Considerations

Are you delivering patient messages in two or more languages?
Yes    No

If yes, do the changes indicated above need to be made in all languages?
Yes    No

Are you a multi-practice site?
Yes    No

If yes, do the changes indicated above need to be made for all practices?
Yes    No

Are there any new message elements (Provider(s), Location(s) and/or Appointment Types) that you wish not to be called?
Yes    No

If yes, please specify: