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Patient Paperwork | Online Submission

Submitting your new paperwork is now secure, simple, and efficient!

Step 1. Complete your paperwork

Please click on the link below to start downloading your new patient paperwork. You can also find the same paperwork on the [Home] Page of this website. Please fill out all required fields within the secured paperwork. Upon entering a signature, you'll be asked to set a Digital Signature. This Digital Signature ensures personal authenticity and security.

Step 2. Activate your Secure Messaging Portal

In just a few short steps, you'll need to register your completely secure self care portal in which you will be able to send private messages to your physician. Everything is encrypted for your protection and confidentiality. If you already have a secure messaging profile, you can move to Step 3.

1.
Register your account by clicking the [Register] button below.

2.
Enter your email address, and a secure password.

3.
Go to the Inbox of the email you registered with to find your [Confirmation URL]. Follow the instructions in the email to activate your account.

4.
Log into your secure messaging portal. Your messages are completely safe, protected, and private from this point onward.

Step 3. Submit your paperwork

Once you've completed your paperwork, saved a copy for your records, and registered your secure portal, you're ready to submit straight to the office!

1.
Start by first clicking [Compose]

2.
Select [Attach], and select your saved paperwork.

3.
Select [New Patient Paperwork] and enter an optional message to go along with your paperwork. Click [Send]. A notification that you have submit your paperwork will be sent to the staff a Boardwalk OBGYN.

4.
Congratulations! Your secure paperwork has been sent.

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Questions?

Give us a call, and we'll be glad to assist you along the way.

Contact

Please contact one of the numbers below for assistance.

Dallas Location
Connect to the Dallas Office.

(972) 982-2249

Las Colinas Location
Connect to the Las Colinas Location

(972) 406-9911

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Downloading and editing your paperwork will require Adobe Reader. Please ensure you have the latest version here. If you are still experiencing issues, please call your office below.

Patient Paperwork | Secure eSubmit

Important!

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