Patient Forms

> Financial Responsibility Form

HIPPA Policies regarding medical information

> EHX RX Consent Form

You may fill out a patient registration form and medical history using our Patient Portal.

Patient Portal

The newest tool in our web kit is the eClinical Works Patient Portal. We have recently migrated our paper chart practice into a more efficient paperless electronic medical record (EMR). The patient portal component of our EMR provides our patients with many excellent options to help manage their own health care. Some of the options include secure email transmission, on-line requests for office appointment times, patient review of their own chart document, and more.

Wherever you see the symbol in on our practice web sites, clicking on the symbol will take you into our practice patient portal. The portal works for new patients and established patients. New patients will be able to request appointments and request a username and password that can then be used to complete new patient documents. For more information about the patient portal, please visit the introduction to use of patient portal for patients.

Content reviewed and updated on September 26, 2014.