Forms/Patient Portal


Patient Forms & Patient Portal

Please complete and submit the Health History Forms on the My Health Record Patient Portal 24 – 48 hours prior to your appointment using the MyHealthRecord.com blue button below.

For your convenience, the Health History Forms can also be downloaded here and completed manually. To help facilitate your wait time you may FAX these forms to 404-601-0026 prior to your appointment day.


Annual Exam Appointments

In addition to your Health History Forms, please print out and complete the Patient Registration Forms below.

Please DO NOT FORGET to bring the following to your appointment as well:

  • Your current insurance card
  • A photo ID
  • Any physician referral form (if applicable)
  • Your medications list
  • $6 for parking

Associated Brochure Downloads for Your Reference


Optional Forms

Please use this form to request medical records. Be sure to sign, and date this form and provide a complete fax number or address where records need to be sent.

Fax this form to 404-851-9894.
Please allow 5-7 business days for processing.


Patient Portal

Greenway Health

Premier Care for Women is a member of a network of physician practices that utilizes MyHealthRecord.com, a secure, web based system that allows you real-time access to your medical record and enables you to contact our office electronically. MyHealthRecord.com is available 24 hours a day for you to review your health records and conduct non-urgent communications with our office.

Using our patient portal, we are proud to offer a convenient way to:

  • Request an appointment
  • Request prescription refills
  • View a summary of your visit
  • Request many of your lab/test results
  • Review your medical record in a secure environment

MyHealthRecord.com is NOT to be used for urgent or emergency communications. Communication through the portal is not intended to replace an office visit. Please do not send messages through MyHealthRecord.com that require immediate medical attention. If you do not receive a response within 72 hours, you should contact the office.

PLEASE NOTE
You may call our office during normal business hours to request that an account be created for you. To visit the login page, click the link below.

  • Please allow 2 weeks for results to be posted to the portal after your appointment
  • Get your lab results by reading the directions on the portal home page
  • Please allow 24 to 48 hours for prescription refills to be completed

Patient portal communication is intended only for the patient that is currently logged in. Any communication relating to another patient including family members needs to be communicated under their own portal ID. You are responsible for the security of your password(s) and for authorizing, monitoring and controlling any access and use of your account and password(s).

If you decide to connect your health record to the third-party app of your choice, please be advised that the app is in no way endorsed by or affiliated with Northside. When you connect your health record to the app of your choice or elect to transmit your health record outside of our medical record system, Northside is then no longer managing the security and use of your data and you are responsible for protecting that data, which may no longer be secure. Northside encourages patients to always consider the protection of your personal data and read in full all privacy policies and terms of use to ensure you manage your data appropriately as sharing your information cannot be undone.

Click here to login to Patient Portal