Request for Televisit
Please complete the following questionnaire if you would like to speak to a doctor over the phone. If you do not have MSP coverage, pre-payment is required before the televisit. Video conferencing is not available at our clinic.
Your request will be placed in a queue. We will give you a call back as soon as possible; however, we CANNOT offer a specific time for the phone calls. **PLEASE NOTE** Due to the high volume of requests, you may not receive a call back from the doctor on the same day of your request, and you may experience some delays over the weekends.
Please note that Dr. Ghahary is only accepting televisits for his family patients.
Sign in to Google
to save your progress.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service