By filling out the form below you will be registered and prepare telemedicine/monitoring accounts so we can start care before the invisible enemy attacks.
By signing the form, you agree to receive care by our US licensed physicians, nurse practitioners or physician assistants. You also agree to allow us to submit charges to your insurance companies for visits. We will follow your insurance's rules and regulations to provide appropriate care. In addition, by filling out this form you authorize Duxlink to verify insurance eligibility for the coverage of telemedicine. We will follow your insurance’s rules and regulations to provide adequate care. By filling out this form, you are authorizing Duxlink to verify insurance eligibility for the coverage of telemedicine. You will be contacted by a Duxlink Health team member to ask related questions regarding past medical history, medication regimen, and allergies etc. We will track your symptoms by surveys and vital signs by measures and if needed we will schedule a visit. We will email you any additional information for review with the capability of secure electronic signature.