Information for Existing Patients

 

 

  Click   https://mycw35.eclinicalweb.com/portal3877/jsp/100mp/login.jsp  to connect to the patient portal.

 

The Patient Portal uses leading edge technology to promote healthcare and make it easier to perform preventative care. The Patient Portal gives you 24x7 access to your medical information from the comfort and privacy of your own home or office.

 



Patients can:

  • Enter medical history on-line
  • Send messages to their doctor’s office
  • Complete New Patient Registration and Patient Pre-Registration
  • Conduct Web consults
  • Refill prescriptions
  • Check lab results
  • Schedule appointments
  • View current and past account statements
  • Obtain patient education materials

Providers can:

  • Securely communicate with patients
  • View history
  • Post lab and imaging results to the portal
  • Send reminder notices
  • Post and upload patient consent forms
  • Obtain referral requests
  • Send appropriate patient education materials directly to the patient

Information For New Patients

Katz Pediatrics functions most effectively as your child's medical home if parents provide a complete medical history and information about care obtained outside of Katz Pediatrics. When transferring to the practice please complete the records authorization form, this will allow our practice to request records from previous physicians. If you have questions regarding medical records please call our office manager, Eva at 772-678-7474

Health History For Children 1 Year and Older
Pediatric Health Histroy.Initial child.d[...]
Microsoft Word document [23.3 KB]
Health History For Children 12 months and Younger
Pediatric Health Histroy Infant (2).docx
Microsoft Word document [25.1 KB]
Authorization of Medical Treatment
2017 Authorization of Medical Treatment.[...]
Microsoft Word document [66.8 KB]
Please Read and Sign our Payment Policy
Payment Policy.docx
Microsoft Word document [40.1 KB]
Privacy Practices Form
PRIVACY PRACTICES Acknowledgment form.pd[...]
Adobe Acrobat document [35.7 KB]
No Show Policy
2017 NSF.docx
Microsoft Word document [59.5 KB]
New Patient Registration Form
Patient Registration.xlsx
Microsoft Excel sheet [13.8 KB]
Please complete this form and either return it to us or bring it to your Previous Physician so that we may get your child's records
2018 AUTHORIZATION TO OBTAIN MEDICAL REC[...]
Microsoft Word document [60.6 KB]