Patient Sign-In
Please check in below before your appointment. It takes less than a minute.
Protected in accordance with HIPAA
Please check in below before your appointment. It takes less than a minute.
Preparing your signed document. Please keep this page open.
Thank you. The front desk has been notified and your signed record is on file.
Your name, phone number, optional email address, the reason for your visit, the date and time you signed in, a photograph taken at check-in, and your electronic signature.
To confirm your attendance at MaDorCARE, to maintain an accurate record of the care you received, and to meet documentation requirements for your treatment and billing.
This information is protected health information under the Health Insurance Portability and Accountability Act (HIPAA). It is transmitted over an encrypted connection and stored in access-controlled systems available only to authorised MaDorCARE staff.
It is never sold and never used for advertising.
You may ask to see the information we hold about you, ask for a correction, or ask for a copy of this record. Contact us at info@madorcare.com or 1-203-823-7086.