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Complete each section below as you would like it to appear on your customized site.
 
Website Url:      
AlphaNumeric(A-Z, 0-9)
Username will be used in the url of free websites
www.hudsonmd.com/username 		 
  
 
First Name:  
 
Last Name:  
 
Phone Number:  
 
Address1:  
 
Address2:  
 
City:  
 
Zip:  
 
Fax Number:  
 
Emergency Phone Number:  
 
Additional Sites:  
 
 
Primary Speciality: Please scroll down the list and click on the most appropriate answer:  
 
Sub Speciality: Please scroll down the list and click on the most appropriate answer:  
 
Website: If you have an additional website to list, please fill in the web address here  
 
I like to sign up for secure messaging
 
Services:Type in any specialized services (i.e. weekend hours, in-office procedures, etc) you would like to appear here:
 
 
Insurance Accepted: Please click on those plans in which you participate here: Aetna
Atlantis Health Plan
Connecticare
Cigna
Empire Blue Cross
G H I
Guardian Insurance Co
Healthsource of Westchester
HIP of NY
Horizon of NJ
Magnacare
Multiplan
Healthnet
Oxford
POMCO
 Medicare
1199 Benefit Fund
Affinity Health Plan
Beechstreet
FirstHealth
MVP Health Plan
Greatwest
Wellcare
ChoiceCare/Humana
Consumer Health Network
Fidelis
HealthNow
Hudson Health Plan
United Health Care
Other:
Office Hours: Please type in your standard weekly office hours here:
Monday From: To:
Tuesday From: To:
Wednesday From: To:
Thursday From: To:
Friday From: To:
Saturday From: To:
Sunday From: To:
 
 
Extra Comments About Office Hours    
     
Office Hours View  View Office Hours In Pictorial Representation
  
   View Office Hours In Textual Representation  
 
Office Form :
If you have standard office forms that you would like to make available to your patients, please click browse, locate them on your computer and upload them here:		  
 
Form Name:   
Form File: 
Add More:
 
 
 
 
 
 
Please supply us with a recent picture of yourself to post on your customized site. Click on browse, locate the photo on your computer, and upload it here  
 
Image:  
 
Please look through the sample templates, backgrounds and colors available to choose one that fits your practice best. Once you have decided, click "choose this design".  
 
Choose Your Design:
 
 
 
Once you have completed the above sections, review the WMSO Terms & Conditions and click submit. Our IT team will review your submissions and modify your customized website with your information shortly. If you have any questions or need assistance, please contact WMSO at (914) 366-4472. Enjoy your new, free, customized site from your physician organization WMSO!  
 
 I agree to Hudson MSO Terms & Conditions
 
     
 
 
 
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It is not meant to be a substitute for physician care, instructions or information from physicians for any individual.
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