Your Family Practice With Immediate Care Services
Patient Portal

Patient Forms

Registration Form
Review of Systems Form
HIPAA Release Form
Medial Records Request and Release Form
Privacy Policy

Medical records request/release forms can be accessed through the patient portal. Established patients, contact our office staff for your login and password.

Our Patient Portal offers you convenient, anytime access and puts you at the center of your healthcare. With the ability to view accurate health records, lab results and communicate with your doctor, you are helping us to expand and improve your healthcare experience.

Your Patient Portal can help you save time with the following:

Medications

  • View current medication list and history.
  • Submit refill requests to physicians.
  • Physicians can either approve or deny refill requests directly from inbox, electronically send approved prescriptions to pharmacy and notify patients real-time of status.

Messaging

  • Patients can submit messages to physicians and staff members.

Labs

  • Physicians can forward selected lab results to patients for review with attached comments.

Demographics

  • Patients can view current patient demographics.