Fast Pace - Ortho Proof of Concept [FRANKLINTN]
In English
Visits cannot be scheduled online right now.
En Fast Pace - Ortho Proof of Concept [FRANKLINTN], no necesita la espera. Solo seleccione la hora de su visita y le reservaremos su tiempo.
Seleccione un tipo de cita y un proveedor para ver los horarios disponibles
1. Please select appointment type and provider
Orthopedic Visit
Follow-up
Tiempo de visita es requerido.
Por favor seleccione una hora de cita
<- Fechas anteriores
Fechas posteriores ->
Por favor complete el resto de la información
2. Please fill out rest of the information
Please fill in additional patients.
Nombre del paciente
Apellido del paciente
Correo electrónico
Número de teléfono celular
Date of Birth
Patient Birth Sex
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M
F
Are you following-up with Fast Pace Health after testing positive for, or being diagnosed with, coronavirus (COVID-19)?
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Si
No
Do you have a fever, cough or shortness of breath?
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si
no
Have you recently traveled or been in close contact with someone suspect or confirmed to be positive for Coronavirus (COVID-19)?
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Si
No
To confirm your COVID-19 vaccination eligibility under applicable state guidelines, please click the link below.
State of Tennessee Guidlines
Do you qualify to receive the COVID-19 vaccination under the applicable state guidelines?
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Yes
No
How did you hear about Fastpace?
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Family / Friend
Google / Internet Search
Neighborhood / Walk-By
Previously Visited Fast Pace
Social Media (Facebook, Instagram, etc.)
Text or Email Ad
Insurance Plan / Network Search
TV or Radio Ad
Print Ad
Otro
How did you hear about Fastpace?
×
Le enviaremos un mensaje de texto cuando es el momento de aparecer.
minutos antes de mi visita
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