Secure Message Descriptions

 

Secure Message     Form/Type  Description         
Appointment Request Form

Completed by the patient in the Patient Portal to request an appointment from a physician, practice, or hospital. The Secure Message type can be turned off/on.

 Cardiac Referral Form  

Facilitates a practice/group to refer a patient for an appointment. The referring practice/group initiates the Secure Message and provides patient information.

 Direct Type  

Provides users with the ability to send a Secure Direct Message to another facility.

 Discharge Planning Information Type  

Sent from a facility to the patient with instructions pertaining to being discharged.

 ED Patient Chart  Form  

Facilitates providing Hospital ED information to a practice or group. The referring practice/group initiates the Secure Message and provides patient information if needed.

 Endocrinology Consultation/Treatment Form  

Facilitates a practice/group to refer or schedule a patient to the hospital group or facility. The referring practice/group initiates the Secure Message and provides patient information if needed.

 General Correspondence  Type  

Provides the ability to correspond and pass information to/from physicians, practices, hospitals etc. The Secure Message does not have an attached form.

 Hospice Referral Form  

Facilitates a practice/group to refer a patient for an appointment. The referring practice/group initiates the Secure Message and provides patient information.

 Labor and Delivery Type   

Facilitates corresponding and passing information from an OB/GYN practice to the hospital at pre-defined intervals, such as 20 weeks to prepare for the woman to deliver at the hospital. Examples include ultrasounds, OB records, etc.

 Legal Medical Record Request  Form  

Provides the patient with the ability to initiate a request for medical records. The patient may need to complete additional authorizations. The Secure Message type can be turned off/on.

 OB/GYN Referral Form  

Facilitates a practice/group to refer a patient for an appointment. The referring practice/group initiates the Secure Message and provides patient information.

 Patient Correspondence  Type  

Provides the patient the ability to correspond with a physician, practice, or hospital. The Secure Message does not have an attached form. The Secure Message type can be turned off/on.

 Physician Referral  Form  

Facilitates a practice/group to refer a patient for an appointment. The referring practice/group initiates the Secure Message and provides patient information.

 Prescription Renewal Request  Form  

Provides the patient the ability to initiate a request to renew a prescription. The Patient is required to complete the Secure Message form which includes information about the medication, dose, etc.

 Referral/Consult Request  Form  

Facilitates a practice/group to refer a patient for an appointment. The referring practice/group initiates the Secure Message, provides patient information, insurance information and preferred appointment times. The receiving practice/group receives the Secure Message and form, contacts the patient, completes open sections of the form and can return the Secure Message form to the initiating practice.

 Skilled Nursing Facility Referral  Form  

Completed by a hospital or practice. The form refers the patient to a nursing facility. The nursing facility will complete their portion of the form and then make necessary arrangements to accept/decline the patient.

 Surgical Scheduling  Form  

Facilitates a practice/group to refer or schedule a patient to the Hospital or Surgery facility for a procedure. The referring practice/group initiates the secure message and provides patient information if needed.

 Transplant Recipient Testing  Form  

Facilitates a practice/group to refer a patient to the hospital or other facility for transplant testing. The referring practice/group initiates the secure message and provides patient information if needed.

 Weight Loss Referral  Form  

Facilitates a practice/group to refer or schedule a patient to the hospital group or facility. The referring practice/group initiates the secure message and provides patient information if needed.

 

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