Patient Message Entry – John Naus, MD PA

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- About Us
- Education Center
WAITING ROOM
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Messages
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New Patients
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Phone: 817-545-9100 Fax: 817-545-9134

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Office Phone: 817-545-9100
Office Fax: 817-545-9134

Welcome
- About Us
- Education Center
WAITING ROOM
- Online Payment Form
Messages
- Announcements and News
New Patients
Current Patients

Patient Message Page:

Please complete and submit the below form so that our office can respond to your message. Incomplete forms will not receive a response. We will respond to messages only on open business days from 8am to 5pm. We will routinely respond within one business day, but responses may take up to 3 business days. Please do not leave emergency messages here as this system is not set up for emergency response. Call 911 in case of emergency. Please Call (817)545-9100 option 7 for after hours needs if necessary.

This message system is not set up for emergency messages. *

I understand. My message is not an emergency and does not require emergency attention.
Other options

If this is an emergency situation please call 911 to access emergency services.

Please call our office at (817) 545-9100 with any non-emergent general questions of concerns.
Please call our office at (817) 545-9100 / option 7 for timely responses outside of business hours.

Name *

First

Last

Date of Birth *

Date of your most recent appointment. (Please note that in order to provide the highest level of care we will need to schedule a follow up visit with your provider for more complex concerns or any medication changes....please include available dates and times for a visit at the bottom of this page) *

E-mail - a receipt of this messge and possibly a response will be sent to this email *

Email

Confirm Email

Would you like a text response? (Click YES to opt-in. Upon receiving a text, please respond with STOP to any SMS (text) to opt-out SMS (text) communication; Messaging frequency may vary; Message and data rates may apply.) (see our privacy policy: https://johnnausmdpa.com/privacy-policy/) For assistance text HELP of visit our website at johnnausmdpa.com. *

YES
No, Please call me.
No, Please email me.
No thank you, I don't need a response

Please enter a phone number here for a phone call response *

Please enter a phone number here for a text response (Consent to receive a text response is implied by filling in the below box. (Please respond with STOP to any SMS (text) to cancel SMS (text) communication.) *

Is this messge about any of the below? (If neither first or second click other) *

Medication refill request
Appointment schedule/reschedule/change/cancel
Other

I understand that medication refill requests can best be addressed best by filling out a medication refill request form. *

I will fill out a medication refill request form under the "current patients" tab on the main website and I do not need to continue with leaving a message here.
I will supply a medication refill request form as I don't want to delay the processing of my refill, but I also want to leave a general message.

I understand that medication refill requests can best be addressed best by filling out an appointment reschedule request form. *

I will fill out an appointment request form under the "current patients" tab on the main website and I do not need to continue with leaving a message here.
I will try to supply an appointment request form as I don't want to delay the processing of my appointment time, but I also want to leave a general message.

Which department do you have a message for? *

General message
Question for my provider
Other

Please enter the subject of you message/question. *

Message *

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