If you are human, leave this field blank.Secure Direct MessagingIn an effort to improve secure communication of patient correspondence, we're updating our direct messaging email database. Please include your direct messaging email information below. If you do not use an EHR system, please select the checkbox below. Please note: do not send patient referrals via direct messaging.Practice NameDoctor Last NameDoctor First NameSecure Direct Messaging EmailPlease note this email must contain the word "direct" in the address. Example: klavery@specialtyeyeinstitute.direct.imedicware.comPlease check the box below if you do not use secure direct messagingI do not currently use an EHR system and / or use secure direct messagingCaptcha *reCAPTCHA is required.Submit Schedule Appointment
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