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1-888-507-0826 · info@SmartND.ca
Monday to Friday, from 9:00am to 5:00pm Eastern Standard Time.
Creating a Patient Profile for a minor
For security reasons, OutSmart uses several pieces of information to secure a patient's medical information. One of these pieces of information is the patient's e-mail address.
In the case of a child or other dependent, you might want to use your own e-mail address for all communications with your child's health care practitioner.
This is ok, except that you yourself might also be seeing a health care practitioner that uses OutSmart as their medical records system, and you might want to use the same e-mail address for your records as well.
Since every e-mail address is used to identify a single individual in OutSmart, if you want to use your own e-mail address for your child or dependent's medical records, you must modify it as follows:
If your address is firstname.lastname@example.org, and you are filling this form out on behalf of your son Joe, then use the e-mail address email@example.com.
Use this e-mail address whenever you are interacting with SmartND / OutSmart Medical Records on behalf of your child or dependent. This includes the Patient Portal.
The '+joe' portion of the e-mail address helps us to identify the child's records as separate from your own, but any e-mail
communications sent to that address will still end up in your inbox.
Thank you for taking the time to complete this questionnaire. To submit it, please click on the blue 'Submit' button in the top toolbar.
Once you submit the questionnaire, you can always access it again later by going to the EXACT URL that is in the address bar above.
IMPORTANT: Since you are submitting this questionnaire as a guest, you can only view this questionnaire by visiting the EXACT URL in the address bar
UNTIL your practitioner takes custody of the questionnaire. After your practitioner takes custody of the questionnaire, you will no longer be able to view it until your appointment.
To get a copy of this questionnaire for your records, please scroll back up to the very top of this questionnaire and create
your account. You will not lose any of the information you have entered, and this form will be automatically connected to your new SmartND Patient Portal account.