Sawsan F. Selem, M.D., F.A.A.P.

Pediatrics & Adolescents

Forms

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Have you signed up for eClinicalWorks?


If you would like to communicate with your child doctor’s office via secure e-mail, please let us know, so we can sign you up for health eClinicalWorks .There is no fee for this service

With health eClinicalWorks, you can access a wealth of general health information online, view new massages from our office, and take advantage of the benefits:

*Request a non-urgent appointment or confirm an appointment. For all urgent issues, we ask that you call our office, as these massages are only checked during office hours.

*Request medication refill.

*Ask a quick, question, non-urgent question you may have.

*Have forms, form our office such as lab slips and radiology orders, e-mailed to you.

*No critical health information is sent via e-mail. When a message is sent from the doctor’s office, you receive an e-mail stating you have a new massage from doctor’s office, and are directed to log in to health eClinicalWorks to review.

Patient Name:
Date Of Birth:
E-mail Address:
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