← Back to Greenfield Family Medicine | Patient Booking & Self-Scheduling Flow
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Pre-visit booking
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Greenfield Medicine
Step 1 of 7
Pre-visit booking
1
Sign in
2
Your Info
3
Insurance
4
Health History
5
Reason for Visit
6
Pre-Visit
7
Availability
8
Choose Time
9
Payment
Confirmed

Let's get started

Sign in to book your appointment. New patients can create an account in seconds.


or use email

Tell us about yourself

We need your legal name and date of birth to verify your identity and match your insurance records.

For appointment reminders and same-day communication from the care team.

Verify your coverage

We check your insurance before confirming your appointment — so you see your real out-of-pocket cost and avoid surprise bills.

Your health history

Help us prepare for your visit. We can often retrieve records from your previous providers automatically.

🏠
Connect to health network
We'll retrieve records from CommonWell, Carequality, or your previous practice's EHR via your insurance.
✏️
Enter key info manually
Takes about 3 minutes. Current medications, allergies, and known conditions.
Skip for now
You can bring a medication list to your visit. Your provider may have more questions.

What's bringing you in?

Or pick a common reason:
How this works: Describe what's bothering you in your own words. Our AI will analyze your concern to determine how much time to reserve and suggest relevant codes for your provider. You can add up to 3 concerns. The more detail you give, the better we can prepare.

Health intake

Help us prepare for your visit. This information stays on file so you won't need to fill it out again.

📄 Upload your cards

Take a photo or upload a scan. We'll extract the details automatically and keep it on file so you don't have to bring the card every visit.

Driver's license uploaded
dl_dave_k.jpg · 2.1 MB
📷
Health insurance card
Tap to take a photo or upload
💊 Preferred pharmacy

Where should we send your prescriptions? We'll remember this for future visits.

Pharmacies are sorted by distance from your home address. Compounding and specialty pharmacies are marked with badges. Your insurance network status is checked automatically.


💊 Allergies — check anything you react to

All unchecked = no known allergies. If you check any, we’ll confirm at the end.

🩸 Medical history — check anything you have or have had

Unchecked = no history. Check even resolved conditions.
Cardiovascular
Endocrine & Metabolic
Respiratory
Gastrointestinal
Mental Health
Musculoskeletal / Neurological
Cancer & Other

🔬 Surgeries & Procedures

Check any you've had. Leave blank if none.

✅ Please confirm your positive responses

We want to make sure we got it right. Here's what you checked:

  • Allergy: Penicillin / Amoxicillin
  • Condition: GERD / Acid reflux
  • Condition: Ulcer / H. pylori
  • Surgery: Gallbladder removed

When works for you?

Tell us your preferences. We'll find the best matches and show you options.

How soon do you need to be seen?
This week
Symptoms are bothering me now
Within 2 weeks
Not urgent but sooner is better
Within a month
Routine or preventive visit
No preference
Flexible — best available slot
Preferred days
Preferred times
In-person or telehealth?

Choose your slot

40-minute visit · In-person · Dr. Maria Santos or NP Taylor Brooks · Week of May 11–17, 2026

Best match
Thu, May 14 9:00 AM
👤 Dr. Maria Santos, MD 📅 40 min
Preference match — 9 / 10
Sooner
Tue, May 12 2:30 PM
👤 NP Taylor Brooks 📅 40 min
Preference match — 6 / 10 (afternoon, not morning)
Standby
Mon, May 11 or Tue, May 12
👤 Next available provider 📅 40 min
How standby works: Join the standby queue. When a gap opens in the day's schedule, we text you and you have 15 minutes to confirm. You may wait up to 45 minutes from when you arrive at the clinic before being slotted. Best for flexible schedules — soonest possible appointment.

Pay now and skip the line

Based on your coverage, here's what we expect this visit to cost. Pay now and walk straight out when you're done — no waiting at checkout.

Estimate
Your expected cost
$30.00
In-network PCP copay
United HealthCare PPO
This estimate is based on your verified benefits. If we discover additional charges (labs, procedures, etc.) during your visit, we'll tell you the cost before we charge anything extra.
We'll charge $30.00 now. When your visit is over, you're free to leave — no checkout line, no waiting.
No-show? If you can't make it, cancel 24+ hours ahead for a full refund. Inside 24 hours, we refund $25.00 and keep $5.00 as a cancellation fee.
Different amount? If the final charge differs from $30.00 (e.g., lab work or a procedure), we'll contact you with the exact amount before charging your card. No surprises.
Overpaid? If we collected more than the final adjudicated amount, the difference is automatically refunded to the same card within 5 business days.
Payment method
💳
🔒 PCI-DSS Level 1 🔒 256-bit TLS 🏢 HIPAA Compliant
You're booked!

Confirmation sent to jane@example.com and by text to the number on file.

Your appointment

📅 Thursday, May 14, 2026 · 9:00 AM
40-minute visit
👤 Dr. Maria Santos, MD
Family Medicine
🏠 Greenfield Family Medicine
245 Maplewood Ave, Suite 102 · Maplewood, NJ 07040
💰 $30.00 paid
Visa ••••3847 · Walk straight out when you're done
Add to calendar
What to prepare
  • Bring a photo ID and your insurance card (we have it on file but it helps to confirm)
  • Arrive 10 minutes early to complete intake forms at the kiosk
  • Bring a list of any medications not already in your chart
  • Wear comfortable clothing — we'll check vitals and may need to listen to your chest
  • You can message the care team any time via the patient portal if your symptoms change before the visit
Cancellations & changes
⚠ Before your visit: If your symptoms worsen significantly or become life-threatening before your appointment date — chest pain radiating to your arm, difficulty breathing, confusion, or other emergency signs — call 911 or go to the nearest ER immediately. Do not wait for your scheduled visit.

Account security
🔒
Two-factor authentication (2FA)

Adds an extra layer of security to your patient portal. When you sign in, we'll send a one-time code to your phone.

Post-Visit Checkout

You're all set

Your $30.00 copay was charged when you booked. Nothing more to pay — you're free to head out.

✅ Payment confirmed
$30.00 charged to Visa ••••3847 at booking
No additional charges from today's visit
Itemized EOB available in your portal once the claim processes (2–4 weeks)

Today's visit

📅 Thu, May 14, 2026 · 9:00–9:40 AM
Established patient, moderate complexity · CPT 99213
👤 Dr. Marcus Chen, MD
Greenfield Family Medicine
📋 Dx: Acute bronchitis (J20.9), GERD (K21.0)
2 prescriptions sent · 1 lab ordered · follow-up in 4–6 weeks
Post-Visit Checkout

Your receipt

How would you like your $30.00 receipt and after-visit summary delivered?

📱
Electronic
Email + SMS + saved in your patient portal forever. Zero paper, instant delivery.
🖶
Paper receipt
Prints at the front-desk kiosk on your way out. Useful for HSA/FSA reimbursement binders.
📄
Both
Paper printed now + emailed. Great for keeping your own records.
Always available in your portal Regardless of your choice, your itemized receipt, after-visit summary, and explanation of benefits preview are in the REV.health patient portal anytime — no app required.
Post-Visit Checkout

What's next

Dr. Chen ordered a few things. Track and manage everything online — no phone calls needed.

💊
Rx sent to pharmacy
Albuterol HFA 90 mcg · 1 puff q4–6h PRN
CVS Pharmacy, 500 Market St — ready in ~1 hour
📋
Lab order — LabCorp
CBC + Comprehensive Metabolic Panel
Walk in to any LabCorp — no appointment — results in portal in 2–3 days
📢
Referral — Pulmonology
Dr. Linda Chen, MD · UCSF Pulmonary
Sent electronically — expect a call within 3 business days
📅
Follow-up visit
Dr. Santos recommends returning in 4–6 weeks to review lab results and respiratory symptoms

Not for emergencies. If you experience chest pain, difficulty breathing, or other urgent symptoms, call 911 or go to the nearest ER. Portal messages are responded to within 1 business day.
Notify me when
Lab results are ready
Push + email
Rx ready for pickup
SMS text
Follow-up appointment reminder
Email 3 days before + SMS day-of
Referral status updates
Email when specialist responds
🚶
Have a great day!

You're all checked out — you're free to head out.

Sent & confirmed

  • 💰$30.00 pre-paid at booking — no balance due
  • 📄Treatment plan — saved in portal
  • 💊Albuterol + Omeprazole Rx — sent to CVS #4821
  • 📋Chest X-ray order — walk in to LabCorp
  • 💬Secure messaging — active in portal
📱
Greenfield Patient Portal
Track Rx, labs, referral status — schedule your follow-up and message Dr. Chen online. No phone calls.
Everything is online Lab results, referral updates, and your follow-up appointment are all handled in the portal. You'll be notified the moment results are ready.
⚠ If symptoms worsen: Chest tightness, severe shortness of breath, or any emergency signs — call 911 or go to the nearest ER. Don't wait for results or a follow-up.

Questions? Message your care team in the portal or call (555) 310-4800.