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Online Features
We know that you are busy so we want to make it easy and efficient for you to work with us. Our online features are available to existing patients.
Patients new to our practice can also submit their information to us. If you are a new patient and want to register with our practice, click here for new patient information. Forms that are needed for new patients are also listed below.
We will always contact you if we have a question about your electronic request and to authenticate your identity.
Things You Can Do Online Through Our Website
Using the links below, you are able to:
♦ request a prescription refill
♦ request a referral to a specialist
♦ request a copy of your health form view a sample
$5 fee is required. Note: Your free immunization sheet is delivered to you at your child's annual check-up. Need help?
♦ send us feedback or ask a question
♦ request a future well appointment
♦ sign up for a future class, meeting or event
♦ update your family contact information (or download form)
♦ add a child to your family record (or download form)
♦ download and sign our HIPAA privacy policy
♦ download and sign our financial policy
♦ download and sign our records policy
♦ review our scheduling policy
♦ review our referral policy
♦ request a record transfer/release from LPA.
Click here for help and payment information.
♦ download and sign a guardian authorization form to allow another person to transport your child to our office and be informed about their medical care.
♦ download and sign an 18 Yr patient privacy assignment to allow parents and others you choose to know your medical information.
New Patient Forms
♦ fill out a New Patient Registration/Medical History form (or download form)
♦ download and sign our HIPAA privacy policy
♦ download and sign our financial policy
♦ download and sign our records policy
♦ review our scheduling policy
♦ review our referral policy
♦ request record transfer/release to LPA from your provider
♦ download and sign a guardian authorization form to allow another person to transport your child to our office and be informed about their medical care.
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SPOTLIGHT
All of your transactions to us are encrypted as they pass over the internet. While this encryption does not assure total confidentiality, it does provide the highest level of security that is typically found on the internet.
We value your information and take the necessary steps to protect your privacy.
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KNOW MORE |
Your name, home phone number and online information must match the information in our system in order for us to process any form.
When you are completing our online forms, items marked with an "*" are required fields. Make sure you enter your information into all fields that are marked with an asterisk.
To obtain a copy of your medical record or a summary of your immunizations from archive you need to complete a release form and forward it to us with your signature by fax, mail or drop off.
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