Tibb House
HIPAA Compliant Medplum FHIR Ready TLS Encrypted
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Secure Patient Intake

You are entering a private, encrypted space for sharing health information with your Tibb House care team.

HIPAA-aligned confidentiality. Your information is encrypted in transit, stored securely, and will only be accessed by authorised clinical staff. It is never sold, shared, or used for marketing. All records are managed in compliance with applicable health data protection laws. This system is integrated with Medplum, a FHIR R4-compliant health data platform.

How would you like to submit your information?
Choose the method that works best for you. Both options result in the same secure record — choose whichever is easiest.
Upload Medical Documents
Accepted: PDF reports, lab results, prescriptions, X-rays, MRI/CT scans, medical images. Up to 20 MB per file.

Drop files here or click to browse

Your files are processed securely and never stored unencrypted

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Personal Information
Your basic identifying information. All fields marked with * are required.
Identity
Contact Details
Emergency Contact
Medical History
Your health background helps us provide the most appropriate care. Share only what you are comfortable with.
Known Conditions
Allergies
Current Medications
Surgical & Hospital History
Current Concerns
Tell us what has brought you to Tibb House today.
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Lifestyle & Tibb-Specific
Lifestyle
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Previous Tibb / Islamic Medicine Experience
Completeness Checklist
Your record status at a glance. You can go back to fill in any gaps, or continue to the final review.
Final Review
Please confirm your information is accurate before submitting. This is your last opportunity to make changes.

Record Received

Your medical intake has been securely submitted to your Tibb House care team. You will receive a confirmation by email, and a practitioner will be in touch to discuss next steps.

Record ID: —

Your data is now encrypted and stored in our Medplum FHIR system. If you need to update or delete your record, email us with your record ID above.

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