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MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
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GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
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LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
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GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
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LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
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GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
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LAFAYETTE OB-GYN (ON-LINE) Page 2 PAST MEDICAL HISTORY Childhood illnesses ____routine (chicken pox, measles, mumps, etc.) ____unusual (describe):_____ List all serious MEDICAL ILLNESSES (requiring ongoing treatment and those requiring hospitalization. LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIAL PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled StudentMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
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GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
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Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
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Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
FOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) Page 2 PAST MEDICAL HISTORY Childhood illnesses ____routine (chicken pox, measles, mumps, etc.) ____unusual (describe):_____ List all serious MEDICAL ILLNESSES (requiring ongoing treatment and those requiring hospitalization. LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALMEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALFOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALFOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
FOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIAL LAFAYETTE OB-GYN (ON-LINE) Page 2 PAST MEDICAL HISTORY Childhood illnesses ____routine (chicken pox, measles, mumps, etc.) ____unusual (describe):_____ List all serious MEDICAL ILLNESSES (requiring ongoing treatment and those requiring hospitalization.MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALFOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
GENERAL HEALTH INFORMATION - 3 - Do you currently have any of the following complaints: Constitution Systems: Genitourinary: Unexpected Weight Change Yes No Painful urination Yes No (Loss or Gain) _____ Blood in urine Yes No Fever Yes No Incontinence or dribbling Yes No Fatigue Yes No Are youpregnant
PERSONAL PATIENT'S EMPLOYER / SCHOOL INFORMATION Sex Date of Birth Male Female Single Married Divorced Widowed Legally Separated Employed Retired Disabled Student LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT … LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIALFOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN (ON-LINE) LAFAYETTE OB-GYN (on-line) Patient General History Form Physicians: Daniel J. Wickert, M.D. Jon M. Hoversland, M.D. DATE_____BIRTHDATE_____
MEDNET TECHNOLOGIES
Dr. Leonardo - Medical Web Builder. WIth over 1,000 design layouts and more than 6,000 healthcare topics to choose from, Dr. Leonardo is a viable alternative to a custom website. Learn more about the Dr. Leonardo Medical Web Builder.MEDNET TECHNOLOGIES
MedNet Technologies on Pinterest. Stay informed of the latest updates in the healthcare web development field. Join MedNet Technologies onPinterest.
FOR OFFICE USE ONLY
Name Page 4 AWARDS AND HONORS: PREVIOUS EXPERIENCE: (other than in medicine) To complete your application, please arrange for the following to be sent to the address below. I. Official Medical School Transcript & Diploma II. Curriculum Vitae III. Personal Statement (onepage) IV.
LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION LAFAYETTE OB-GYN ADVANCED VEIN CENTER PATIENT REGISTRATION (Please Print) DATE_____ (office use) Physician: DJW JMH (circle) Acct #_____ PATIENT NAME_____ SOCIAL LAFAYETTE OB-GYN (ON-LINE) Page 2 PAST MEDICAL HISTORY Childhood illnesses ____routine (chicken pox, measles, mumps, etc.) ____unusual (describe):_____ List all serious MEDICAL ILLNESSES (requiring ongoing treatment and those requiring hospitalization.Hide Unhide
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INCREASE IN WEBSITE TRAFFIC AFTER 24 MONTHS When faced with a competitive market and not enough lead volume, Advice Media got creative to grow site traffic and lead volume for Dr.Richard Winter.
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INCREASE IN WEBSITE TRAFFIC AFTER 24 MONTHS Advice Media was a reliable and experienced partner for Dr. Jessica Kim as she made her dream of opening her own practice come true.View Case Study
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INCREASE IN WEBSITE TRAFFIC AFTER 24 MONTHS Dr. Daniel Slaughter and Advice Media partnered together to build a highly aggressive and imaginative marketing campaign that resulted inbig results, fast.
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INCREASE IN WEBSITE TRAFFIC AFTER 24 MONTHS Advice Media was tasked with creating a marketing strategy that matched Dr. Lin's years of experience and quickly grew his practice in a competitive market.View Case Study
ABOUT
TECHNOLOGY-DRIVEN PLATFORM. ROI-DRIVEN STRATEGY.Grow With Us.
We are a technology-enabled digital media company that has been managing the online footprint of private businesses nationwide for over two decades. Thousands of our clients trust Advice Media’s best-in-class, end-to-end platform to build, host, and manage websites, improve client engagement, and optimize lead generationcapability.
Our clients rely on our expertise in critical aspects of digital marketing, including search engine optimization, content marketing, social media marketing, and pay per click advertising. We work hard to deliver unparalleled value and bring your business to unprecedentedgrowth levels.
Find out today how we can build the thriving business you envision. Become Our Next Success Story* Welcome
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Just What The Customer Ordered. Advice Media’s digital marketing platform drives leads and conversions for business professionals in hundreds of specialties. We are experts in all medical fields including cosmetic and plasticsurgeons ,
cosmetic dentists ,
ophthalmologists ,
dermatologists ,
orthopedic surgeons , andgynecologists
– just to name a few. In addition, our marketing team has decades of experience in legal specialties, managing hundreds of law firm marketing campaigns. Our carefully engineered, constantly evolving suite of growth solutions relies on a robust technology backbone designed to put you in the fast lane to success. Explore Growth SOlutions > They understood what it took to bring high-caliber patients into my > practice... patients that are strongly motivated to proceed with> treatment.
/ Richard Winter
DDS, MAGD, DICOI,
DABOI/ID, FAAID
GROWTH SOLUTIONS FOR BUSINESSES OF ALL SIZES TRANSFORM YOUR BUSINESS TODAY STARTING AT $279/MONTH Which Solution is Right For Me?0+
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