Form

New Appointment Type Request

This form gathers information for MedMe to create new appointment types for your pharmacy.

Please fill out one form for each appointment type request.

Enterprise Clients:
Please list specific store numbers for the required appointment type (separated by commas).
If all stores will receive this appointment type, please indicate this in the Store Number(s) field

Contact Information

Pharmacy Name*

Store Number(s) (Optional)

Email*

Appointment Type Information

Please share what you'd like patients to see when they go to your _____.medmeapp.com/schedule site for this particular appointment type when it is enabled for public intake.

Appointment Type Name*

Appointment Type Description*

Appointment Type Sub-Description

Badge Label (Optional)

Badge Description (Optional)

Group Booking Enabled and What Size?

If you'd like multi-service booking, which services should be co-bookable with this one?

Co-booking works two ways. Service A can be booked with Service B and Service B can be booked with Service A, but you can state whether you don't want Service B to be co-bookable with Service A, if desired.

See an example of the customizability below:
A flu shot can be added to a acne management appointment BUT
An acne management appointment cannot be added to a flu shot

"Next Steps" text for Patients

Appointment Methods (Select all that apply)*

OnSite

Phone

Virtual

Please provide the "Next Steps" text that Patients will see in the booking confirmations and reminder emails for the appointment methods you've selected.

Onsite Method – Next Steps

See example below

Example of Onsite Method - Next Steps:

A day before your appointment, you’ll receive a text/email reminder.
Please arrive 5-10 minutes before your appointment time, and let the pharmacist know when you arrive.

Phone Method – Next Steps

See example below

Example of Phone Method - Next Steps:

15 minutes before your call, you'll receive a text/email reminder.
When it's time for your appointment, you'll receive a call at the phone number provided during your booking.
Please make sure you are in a quiet environment or have headphones!

Virtual Method - Next Steps

See example below

Example of Virtual Method - Next Steps:

15 minutes before your call, you'll receive a text/email reminder.
When it's time for your call, you'll receive a link to the video call, which will open up a tab in your browser. Alternatively, you may receive a call at the phone number provided during your booking.
Please make sure you are in a quiet environment with working internet, speakers, and headphones!

Walk-in - Next Steps

See example below

What's Next?

• Let the Pharmacist know you've just completed the intake form online for a walk-in appointment
• Wait near the pharmacy counter until your name is called or follow instructions given to you by the Pharmacist

Example

Intake Forms

Standard Medical Information form

Include Medical Information form?*

Yes

Any Additional Screening Questions? (Optional)

Requested Title and Questions: Please see example above

PDF Template (Optional)

Additional Information

Please let us know any additional information relevant for your Appointment Type.

When would you like these appointments to be added to your system?

Please Note: We will do our best to accommodate your request. Typical requests can take up to 10 business days, but will be confirmed upon evaluation by the MedMe team.