Patient Portal Request Form

Introducing our PATIENT PORTAL, a web interface between you and your doctor

We are honored that you have chosen us as your healthcare provider. Today we have exciting news regarding your health management! As we continue in our efforts to provide our patients with the highest quality of healthcare, we are constantly looking for methods of working together with you to ensure that you are not only aware of, but also involved in the management and improvement of your health.

We are proud to inform you that our practice now offers the opportunity to use to the power of the web to track the most important aspects of your healthcare through our office. The Patient Portal enables our patients to communicate with our clinic staff members easily, safely and securely via the internet. Patients may use a computer or their smartphone to access their portal account.

Participating patients are given secure User IDs and passwords, enabling them to access the Portal to view their personal and private chart documents including lab and diagnostic test results, educational information, billing statements, and other information.

Through the Patient Portal you are able to

• ask non-medical questions of doctors and staff members
• view most affiliated labs
• request prescription refills
• view upcoming appointment dates
• view your personal health record
• examine your current and past billing statements

To learn more or to sign up contact our office today at 541-383-8066 or complete this form and give it to our front office. You may also download the Healow app from your cellphone App Store.

Begin today to take an active role in managing your healthcare.

If you would like our office to register you today, please complete the following. We will issue you your user name and password.