Curtis Group Secure Forms
Curtis Group now offers Online Interactive Secure New Patient Forms to all of our website clients who host with Curtis Group.
The program and the service are absolutely free of charge.
You may preview the forms below by clicking the links.
- Confidential Health History
- Consent for Services
- Notice of Privacy Practices
- Dental Questionnaire
- Financial/Credit/Insurance Information
How the Program Works…
Your Patients will be able to:
• complete the forms online and submit them securely to a password-protected server
• complete the forms online and then print them to bring with if they so wish
• print out the forms and complete them by hand to bring with them.
If Patients complete them and submit them online:
• your office will receive an email notifying you that new forms have been completed and are waiting for review
• your staff can log in to the secure server and view the newly completed forms
• your staff will be able to save the completed forms as electronic PDFs
• or they can print the forms out to place in Patients’ files
• or, if your office is totally digital, copy and paste the information into a desktop application
If you would like to have your own Patient Forms with your logo at the top, simply call (320-363-0210) or email (firstname.lastname@example.org) us.
- Curtis Group
- 9402 November Dr
- St. Joseph, MN 56374
- Phone: 1-320-363-0210
- Fax: 1-320-363-0218
- Email: Email Curtis Group