{"id":141,"date":"2025-03-06T16:54:54","date_gmt":"2025-03-06T16:54:54","guid":{"rendered":"http:\/\/localhost\/TNT-website\/?page_id=141"},"modified":"2025-03-23T16:33:23","modified_gmt":"2025-03-23T16:33:23","slug":"patient-administration","status":"publish","type":"page","link":"https:\/\/eyedoctors.thaotranmd.synology.me\/?page_id=141","title":{"rendered":"Patient Administration"},"content":{"rendered":"<section class=\"bde-section-141-100 bde-section\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-rich-text-141-101 bde-rich-text breakdance-rich-text-styles\">\n<header><div class=\"page-header\"><h3 class=\"page-title\"><em>Patient Administration<\/em><\/h3><\/div><\/header><section class=\"post_content clearfix\"><p class=\"lead\"><strong>Patient Forms:<\/strong>\u00a0Please present these completed forms, ID, and Insurance cards during check-in.<\/p><ul><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/ADULT-MEDICAL-QUESTIONNAIRE.pdf\" data-wplink-url-error=\"true\">Adult Medical Questionnaire<\/a><\/li><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/PEDIATRIC-MEDICAL-QUESTIONNAIRE.pdf\" data-wplink-url-error=\"true\">Pediatric Medical Questionnaire<\/a><\/li><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/CheckInForm_2015.pdf\" data-wplink-url-error=\"true\">New Patient Information<\/a><\/li><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/AUTHORIZATION-FOR-RELEASE-OF-MEDICAL-RECORDS.pdf\" data-wplink-url-error=\"true\">Authorization For Release of Medical Records<\/a>: Please submit this form with your current provider so we can review your history before the appointment.<\/li><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/HIPPA-AND-PAYMENT-POLICY.pdf\" data-wplink-url-error=\"true\">HIPPA and Payment Policy<\/a><\/li><li><a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/Insurance-Disclosure-Form.pdf\" data-wplink-url-error=\"true\">Insurance Disclosure Form<\/a><\/li><li><a href=\"https:\/\/yourstore.wewillship.com\/?account_id=5446\" target=\"_blank\" rel=\"noopener\">Order contact lens<\/a><\/li><\/ul><p><strong>Referral Process:<\/strong>\u00a0If your insurance require referral prior seeing a specialist, please request your primary care physician (PCP), optometrist, and other referring physicians, nurses, clinics to complete the\u00a0<a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/Physician-Referral-Form.pdf\" data-wplink-url-error=\"true\">Referral Form<\/a>.<\/p><p><strong>Questions to Clinical Staff:<\/strong>\u00a0Patient portal can be used to send secured messages to the clinical staff. Original Login credential: LASTNAMEPatientID, Password:TranMMDDYYYY. Please contact staff to obtain PatientID. For example: SMITH202118, Password: Tran01012018. The patient last name is Smith, patient ID is 202118, and patient birthday is on January 01, 2018.\u00a0<a href=\"https:\/\/iportal.mycareimw.com\/thaotraneyedoctor\/login\/index.php\" target=\"_blank\" rel=\"noopener\">Patient Portal Link<\/a><\/p><p><strong>Rx Prescription:\u00a0<\/strong>Please request your pharmacist to fax request to 888-959-8367. We can not accept phone prescription request.<\/p><p><strong>Release of Medical Records:\u00a0<\/strong>If you need a copy of your clinical records, please have the requesting physician fax the following form to 888-959-8367:\u00a0<a href=\"https:\/\/eyedoctors.thaotranmd.synology.me\/wp-content\/uploads\/2025\/03\/AUTHORIZATION-FOR-RELEASE-OF-MEDICAL-RECORDS-FROM-DR-TRAN.pdf\" data-wplink-url-error=\"true\">Authorization For Dr. Tran to Release Medical Records<\/a>.<\/p><p>\u00a0<\/p><\/section>\n<\/div><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Patient AdministrationPatient Forms:\u00a0Please present these completed forms, ID, and Insurance cards during check-in.Adult Medical QuestionnairePediatric Medical QuestionnaireNew Patient InformationAuthorization For Release of Medical Records: Please submit this form with your current provider so we can review your history before the appointment.HIPPA and Payment PolicyInsurance Disclosure FormOrder contact lensReferral Process:\u00a0If your insurance require referral prior seeing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"class_list":["post-141","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/pages\/141","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=141"}],"version-history":[{"count":16,"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/pages\/141\/revisions"}],"predecessor-version":[{"id":266,"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=\/wp\/v2\/pages\/141\/revisions\/266"}],"wp:attachment":[{"href":"https:\/\/eyedoctors.thaotranmd.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}