If you are an existing patient and have an upcoming telehealth appointment with Dr.Galliano, please complete the appropriate rating scales below before your appointment. Information about signing in for your appointment is located below. If you have had changes to your insurance please contact our office as soon as possible.
Established Patients
Step 1: Please complete the online intake as early as 24 hours prior to your appointment by clicking the link below.
CLICK HERE FOR INTAKE
Office staff will contact you prior to your appointment to collect any copays/deductibles.
All patients, new and established, are required to complete the necessary rating forms prior to each visit.
Step 2: Please ensure your computer is equipped with a camera and microphone and are using a Chrome browser. If you are using a mobile device, please make sure you are in a private area with good service.
- If you are using a mobile device, please make sure you are in a private area with good service.