Dr. Rachna Patel Internet Patient Verification
Patient ID Number: (Please enter all letters and numbers)
What is the name of your Collective:
Please check the box to agree.
I hereby certify that I am a patient, collective, patient's caregiver, or operating on a patient's behalf and have received a patient's express authorization to access this information.
If you have a problem,
please call us to verify at (888) 358-3944
Verification Services provided by
Allison Carr Consulting