- Settings
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MySecurePractice truForm allows you to receive immediate text message or email alerts by selecting the alerts you would like to receive below.
Message frequency is based on usage. PBHS does not have a separate charge for this service; however, message and data rates may apply from your mobile carrier.This notification setting will alert you once any user submits your online truForm:
- On the My Profile page
- Select the truForm tab
- Under the Activity Preferences section:
- Under the drop down for select the notification option you would like:
- Once your changes are complete, select the Save Profile button (located in the top/right hand corner):
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Each truForm invitation will include a one-time Quick Access link, which allows patients to access their assigned forms without needing to register an account with MySecurePractice. The Quick Access link will expire if not used within the set period of time.
- On the My Profile page (COMING SOON)
- Select the TRUFORM tab
- Under the drop down for select the number of days you would like as your default:
- Once your changes are complete, select the Save Profile button (located in the top/right hand corner):
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- Security
Just like an online banking system, we use the following encryption to protect ALL patient data:
- truForm is hosted on a secure server.
- 256 bit encryption on the front and back-end.
- We follow all HIPAA laws regarding passing patient information online.
Understanding Health Information Privacy (HIPAA):
The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes. The Security Rule specifies a series of administrative, physical, and technical safeguards for covered entities to use to assure the confidentiality, integrity, and availability of electronic protected health information.
Once the online form is opened within your browser, you can locate the following security information:
- If you are visiting the website with a secure connection, you will be able to identify the website through the site’s certificate. A secure or encrypted website address will begin with HTTPS rather than HTTP, and you will often see some sort of icon in the browser such as a padlock indicating that the website is secure. Secure connections use certificates to identify the website and to encrypt your connection.
- Updates
With MySecurePractice TruForm, you can choose to use our standard v6 TruForm option. This form will be updated periodically by PBHS to ensure the most up-to-date information is added. For detailed information about what updates have been completed, please see below:Date
(month/year)Change Details Form(s) Updated 05/2024
Removal of entire Covid-19 page from Standard Forms (Page 1).
04/2024
Medications / Allergies Section.
Question Updates for the following:
- Org. Question: Have you ever taken diet pills?
- Updated to: Have you ever taken diet pills including GLP-1’s for diabetes or weight loss (Trulicity, Ozempic, Byetta, Victoza, Rybelsus, Mounjaro, Wegovy, Saxenda etc)?
02/2022
Health History Section.
Question Updates for the following:
- Org. Question: Do you have an alcohol use disorder?
- Updated to: Is there a history / treatment for an alcohol use disorder?
- Org. Question: Do you have a substance use disorder?
- Updated to: Is there a history / treatment for a marijuana or substance use disorder?
- OMS
- GD/Endo/Perio
- Eaglesoft
- HH Update
- Canadian GP/Endo/Perio
- Spanish OMS
- Spanish GD/Endo/Perio
- Spanish HH Update
01/2021
Eaglesoft PBHS Standard Form Changes:
- Increased medication fields from 14 to 20
- Added Covid Questionnaire as page 1
01/2021
Covid Questionnaire Changes:
- added "Have you been vaccinated for COVID-19? yes/no question
- added "If so, date of vaccination" text field
- added "Date of booster" text field
12/2020
Covid Questionnaire Changes:
- added "in the past 14 days" to the end of the two questions below:
- Have you been in contact with someone who has tested positive for COVID-19
- Have you been tested for COVID-19
9/2020
Medical History/Health History section:
- COVID-19? added as a yes/no question
06/2020
New Form Created:
- Canadian Covid Questionnaire Standard Form
06/2020
Located at the top of each Standard form page:
- Patient Name field added
5/2020
New Form Created:
- US Covid Questionnaire Standard Form
04/2020
New Covid Page Added:
- Added Covid questionnaire as the first page on all standard forms
02/2020
Signatures - Authorization Section:
- Question Added:
I permit the office to communicate with me via text message on my cell phone.
02/2020
Medication - Are You Now Taking section:
- Added Xgeva to Medication question below:
Are you taking, or have you ever taken bone density meds, RANKL inhibitors or bisphosphonates such as Prolia, Fosamax, Boniva, Actonel, IV-Zometa, Aredia, Reclast, Xgeva, or Evista in the past 12 years?
01/2020
New Form Created:
- Eaglesoft Standard Form
01/2019
Medical History/Health History section:
- Question modification: A history of marijuana or other drug use
- Question modification: Do you smoke or vape (if so, how much a day).
01/2019
Patient Information section:
- Question Added: Preferred Pharmacy & Tel
10/2018
Are You Now Taking section for Medication:
- 2 part Question Added:
- If you are under the care of a physician for pain management, or recovering from drug addiction please select the medication you
are currently taking:
Methadone
Suboxone
Oxycodone
Fentanyl
Other - Treating doctor:
- If you are under the care of a physician for pain management, or recovering from drug addiction please select the medication you
- Org. Question: Have you ever taken diet pills?
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