Ask the Doctor If you don't have the time to make it into the office to see Dr. Green why not have an electronic visit instead? Please complete the following form and submit it to Dr. Green. 1. name 2. contact information: a phone number that accepts calls from blocked numbers, FaceTime or webcam and/or email address 3. date of birth (month/day/year) 4. age (in years) 5. allergies to medications |