Patient Forms

Please print and fill out the following forms

ONLY if requested by your provider or CLINIX staff

Let us help you get the most out of your first visit.

Patient Check-In/Registration

Did you know that Clinix Center for Health allows you to check in online ahead of time? You can confirm your appointment via text message or email, and check in online prior to your visit. You can also check in on your own device when you arrive. Ask us about using mobile registration to make your next visit simpler and faster!

Clinix Center for Health is partnering with Phreesia to help you save time registering for your appointment. Use mobile check-in to register from any smartphone, tablet or computer from the privacy of your own home. Checking in on your device saves you time and ensures your information is always up to date!

Phreesia gives healthcare organizations a suite of applications to manage the patient intake process, including mobile registration. Mobile check-in allows you to complete pre-visit registration from your own device (any smartphone, computer or tablet) ahead of time and in the privacy of your home.

Clinix Center for Health is partnering with Phreesia to save you time when arriving at our practice and to ensure that your health records will always be up-to-date. The information you enter is private and secure and will allow our team to better care for you.

Yes. Phreesia provides industry-leading privacy and security for our patients’ data. They are held to the same standards as Clinix Center for Health related to protecting your family’s information. For additional information about Phreesia’s security visit https://www.phreesia.com/patient-privacy.

Yes. But once you have completed the initial registration, the next time will be much quicker because Phreesia saves your answers.

No. There is no app – you simply click the link provided in the text message or email. This allows you to securely answer any registration and medical questions necessary for your appointment.

Yes! Mobile registration is available in 20 different languages

That’s okay! If you have not completed your registration before the visit, see one of our receptionists, and they will be happy to send you a new link. Don’t worry, Phreesia saves information you entered previously.

You can talk with any of our receptionists in the clinic, reach out through the Contact Us page or send a secure message through the Patient Portal.

Medical Record Release

Quick Links

Patient Portal