My Doctor Online The Permanente Medical Group

Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Provider photo for Jeffrey Chien

Jeffrey Chien, MD

Head and Neck Surgery

Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.

My Offices

San Rafael Medical Center
Appt/Advice: 415-444-2919
Petaluma Medical Offices
Appt/Advice: 707-765-2101

See all office information »

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Office Visit

Getting Here

  • My office address, maps, and transportation instructions are included in “Offices and Directions”. 
  • Please arrive 15 minutes early to allow time for parking and check-in.
  • Please bring your Kaiser Permanente medical card and a photo ID, like your driver’s license, with you.

Before Your Visit

Please bring your medications with you.

  • It’s important to know which medicines, and how much of each, you are taking because it influences recommendations for tests or other medicines you might need.
  • Our electronic medical record tells us what has been prescribed, but only you can confirm what you take every day. This includes prescription medications as well as over-the-counter drugs, such as aspirin, vitamins, herbs or supplements.
  • We can talk about renewing your prescriptions during the visit, or if you already have a prescription, you can pick up a refill at the pharmacy while you are here.

Think about the questions and issues you would like to discuss. 

  • It is a good idea to write them down and bring them to our visit.

Remember to bring your forms.

  • If we sent you a form or questionnaire, please complete as much as you can and bring it with you to our visit.
  • If you have a form you need us to complete. Please bring it with you.  Remember to tell us when you need it completed and returned.

During Your Visit

Before you see me, you will meet with my Medical Assistant (MA).

  • My MA will call you in from the waiting room, will take your vital signs, record your weight and bring you to the exam room.
  • You will also be asked whether you smoke and if you exercise. If you do smoke and are ready to try to quit, we will give you information about the many services we provide to help you quit.

You'll receive a Preventive Health Prompt.

  • Your Preventive Health Prompt lists all of the preventive tests screenings and immunizations you have had in the past as well as when you are due for your next test or screening. We can discuss and schedule any preventive tests that you need.

We will review your medical information, which is readily available through computers in our exam rooms.

  • We can review your lab results and x-rays during your visit. I can order any tests, x-rays or medicines that you’ll need. You will not need a paper prescription or lab order form. After I submit the order, you just go to the laboratory, pharmacy or radiology department and present your card.

You will have a physical examination.

  • We will discuss your medical history and any current symptoms you are having.
  • Based upon your symptoms I will conduct a thorough ears, nose and throat examination and explore your facial features. I may also use instruments to get a better look inside of your ears, nasal and sinus cavities and throat areas.

Tests in the office.

  • We perform certain tests here in the office.  These tests include Endoscopy and Fine Needle Aspiration.  If you need these tests, I’ll explain them during your visit and then schedule a follow-up appointment.

Please ask questions.

  • It is always good to ask questions and voice any concerns you may have about the instructions, medical tests, medications, or treatments. If you don't understand my answers, please ask for more information.

Before you leave, my MA will give you a copy of your After Visit Summary.

  • This summary includes my name and the date and time of our visit, your vital signs, my test orders and your medications or immunizations. It usually includes the instructions I’ve given you during our visit and any follow-up information.
  • You can refer to your After Visit Summary if you forget what we discussed, or if you want to recheck your vital signs and weight. You can also view your After Visit Summary online.

After Your Visit

Referrals.

  • If we talked to another specialist by phone during your visit, we will decide if you should follow up with that specialist or me for additional issues or questions.
  • If I referred you to a specialist and scheduled an appointment, you will receive an appointment reminder in the mail.
  • If we did not book any other specialty appointment during your visit, you will be contacted by that specialty department to arrange an appointment. 

Test results.

  • If you had lab work or other tests done, I’ll contact you with your results by letter, email or phone.
  • You may view your results online. They are often available online before I contact you, so my comments and recommendations usually follow separately.

Follow-up questions/activities.

  • You can contact me by secure e-mail for non-urgent questions. It’s direct communication with me and I am usually able to respond to questions in 24-48 hours.  Logon to kp.org with your password.
  • You can call my office to schedule an appointment or speak to an advice nurse.
  • My surgery scheduler can be a contact person for you if you have any questions related to surgery.
  • From my home page, you can also refill your prescriptions, book future appointments, view your test results and review information about past visits.

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