Follow up Questionnaire

Denver Endocrinology, Diabetes and Thyroid Center, PC
Follow up Questionnaire

  • Please update your provider on your health conditions and medications by completing the Follow up Medical Check-in below, otherwise a Medical Assistant will call you to check you in
  • Once you complete your Phreesia check in, you will automatically be put in queue to receive a link for ZOOM. 15-20 minutes prior to your virtual visit, you will receive a link from Phreesia to verify your identity, then you will receive your ZOOM link. Once you enter the virtual room via your ZOOM link, you will be in a waiting room for you provider. DO NOT EXIT your ZOOM waiting room, otherwise you will not be able to re-enter the ZOOM waiting room.
  • If you do not wish to do this please contact the office for an alternative option for your Video Visit at 303 321 2644 x 1
  • IF you are a diabetic, it is strongly advise that you email or upload your blood sugars before seeing the provider, this will prevent your appointment from being reschedule. ( 

Follow up Questionnaire

  • NEW ALLERGIES ONLY You can answer NO or YES and list your new allergies

  • NEW CHANGES ONLY Example: 01/31/2002-Thyroidectomy

  • Labs done 7/20/2020 with Labcorp; Labs done 5/2/2020 @ Dr Tom Smith’s office

  • Example: Fatigue, Lump in neck, can’t sleep, constipation

  • example: Synthroid 100 mcg 1 daily   OR You may copy and paste a medication list. Please try your best to list dose and directions of your medications

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