On Computer

⧫ Please create an account on our Patient Portal with a Password.
⧫ Log in to your “Patient Portal” Home Page.

On Mobile Device

⧫ Please create an account on our Patient Portal With a Password.
⧫ Log in to your “Patient Portal” Home Page
⧫ Scroll Down to the very bottom of the page and click on “Full Site” See image below

Pre-Visit Check-In & Data Capture

3- Click on “Fill out forms”.

Pre-Visit Check-In & Data Capture

4- Click on the “Complete NEW (or FOLLOW UP) PATIENT MEDICAL HISTORY”
5- Please click on each field and Complete the questions:

Pre-Visit Check-In & Data Capture

Note: If your appointment is canceled, the data that you enter in this form will not be reviewed by your provider and may be discarded.