Patient Information

Online Patient Portal

https://mycw30.eclinicalweb.com/portal3139/jsp/100mp/login_otp.jsp



Patient Forms

Annual Wellness Forms 65+

Online: https://intakeq.com/new/zaaex5



Permission to Treat:

Online: https://intakeq.com/c/kUPNb



Consent for Medical Treatment:

Online: https://intakeq.com/c/cfYHEY

Assignment of Insurance Benefits

Online: https://intakeq.com/c/R84T3v

Agreement of Financial Responsibility:

Online: https://intakeq.com/c/nUKxmmhttps://intakeq.com/new/zaaex5 ://intakeq.com/new/a

Online Payment Options

Payments can be made online through our billing agency or in office if you receive a bill

Insurances Accepted

We accept most major insurance plans and are currently working on new contracts. Please contact the office to see if we are on your plan.

Patient Education

Hypertension - https://www.nhlbi.nih.gov/education/dash-eating-plan

Diabetes - http://main.diabetes.org/dorg/PDFs/awareness-programs/hhm/what_can_i_eat-best_foods-American_Diabetes_Association.pdf