Patient Privacy
Dr. Jon Ahrendsen

This step enables you to become an active partner in helping us provide you the most comprehensive healthcare. The time you take here to securely produce a complete list of your symptoms is perhaps the most valuable action you can take to assure a successful visit with your doctor.  We are now going to take your relevant history and symptoms. When you have finished, you will see a summary of your symptoms.  Please press "End" on this screen, and your information will be securely transferred to my office.

Patient First Name
Patient Last Name
Gender:
Birthday:
Medical Concern:
 e.g., cough, headache,  depression