Patient Information
Reason for Visit
Labwork/Appointment
Confirmation
Labwork Requested!
We’re reviewing your labwork request. You’ll receive a call or text message from CHI Health Center shortly to confirm your labs have been sent to your chosen location. To change or cancel your labwork at any point, please contact CHI Health Center at 718-210-3110.
PATIENT NAME:
{New_Patient_Name (First):8.3} {New_Patient_Name (Last):8.6}
REASON FOR VISIT:
PrEP for HIV Prevention
LOCATION:
{CHI_1:46}{QUEST_1:49}{HOME_1:50}
{CHI_2:48}
{CHI_3:47}
Finish Registering!
If you are a new patient to CHI Health Center, we have a few more forms for you to fill out before your provider can order you lab work. Complete them online now. (It takes about 10 minutes.)
